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Revenue Cycle Manager Charge Capture Senior Analyst

Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst. Is that you?

Work location: Texas Health Resources, 612 East Lamar Blvd, Arlington, TX 76011

(Fully Remote, must live in DFW or Texas)

Work hours: Full-time, Day shift; 40 hours, Monday – Friday, 8:00am to 5:00pm,

PB Revenue Integrity Department highlights:

· Flexible hours/scheduling once training is complete.

· Work life balance

· Opportunities for advancement

Here’s What You Need

Education

· H.S. Diploma or Equivalent (Required) And,

· Bachelor's Degree in Business Administration or Healthcare Finance or 4 years relevant experience in lieu of degree (Required)

​​​​​​Experience

• 4 Years Healthcare finance, revenue cycle management, practice operations management or decision support/database management is required. Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability to understand payer reimbursement methodologies (Commercial and Government). --- with Degree (Required) Or,

• 8 Years Healthcare finance, revenue cycle management, practice operations management or decision support/database management is required. Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability to understand payer reimbursement methodologies (Commercial and Government). --- without Degree (Required)

Certification

· CPC - Certified Professional Coder (Required)

​​​​ Skills

• Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability to understand payer reimbursement methodologies (Commercial and Government). Impressive organizational skills; ability to effectively communicate analysis of trends to various levels of stakeholders; proficiency with Microsoft Office Suite including Outlook, PowerPoint, Excel, and Word; critical thinking skills; proficient in deciphering information contained in an electronic health records such as EPIC are required. Familiarity with ICD 10; CMS claims data; and interpretation of contracts preferred.

What You Will Do

Under general direction of the Revenue Cycle Manager Charge Capture the Senior Analyst Charge Capture serves in a role tasked with improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies from the provision of patient care to final bill generation. All responsibilities are performed in accordance with established organizational policies, procedures and compliance and quality standards.

• Responsible for functions related to the build and maintenance of the Charge Description Master (CDM).

• Assures accurate and timely implementation of CDM additions, deletions, and changes to minimize billing issues.

• Identifies and analyzes departmental requests for changes to CDM.

• Review/identify/analyze necessary CPT/HCPCS code changes related to annual and quarterly updates from regulatory agencies.

Annual Audit Plan and Process Improvement:

• Promotes, develops and maintains effective communication, interaction, and excellent relationship with internal customers, including ensuring their requirements are identified and consistently met.

• Reviews and evaluates the effectiveness of corrective action plans and provides comprehensive follow-up to Senior Management and others as needed or required.

• Compiles accurate and timely formal written reports on oversight and monitoring activity findings; ensures that audit documents are properly prepared to support oversight and monitoring activity findings and adheres to state and federal regulations, third party payer regulations as well as internal policies and procedures and internal controls.

• Applies a comprehensive knowledge of current and evolving best practices and industry trends.

Meetings and Education:

• Mandatory attendance to webinars, classes, lectures, internal meetings, etc. to maintain current knowledge regarding CMS reimbursement, commercial payer contracts, THR charging policies and changes that impact revenue, such as CPT and coding changes.

• Perform other related duties incidental to the work described herein reviewing entity emergency departments E/M calculators having access to full ED nurse audit functionality.

Additional perks of being a Texas Health employee

· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.

· A supportive, team environment with outstanding opportunities for growth.

Texas Health Resources Highlights:

At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.

Our award-winning culture is a tribute to our amazing employees. We’re thrilled to be a 2024 FORTUNE Magazine’s “100 Best Companies to Work For®” for the 10th year in a row!

We strive to create an atmosphere of respect, integrity, compassion and excellence for all. We’re committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. Join us and to do your life’s best work here!

Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

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Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.