Key Facts

Remote From:

Florida (USA) , Georgia (USA) , Missouri (USA) , North Carolina (USA) , Pennsylvania (USA) , South Carolina (USA) , Tennessee (USA) , Texas (USA)

Full time

Mid-level (2-5 years)

English

Hard Skills

Performance Analytics Organ Procurement CCURE (Security And Event Management System) Clinical Data Analysis Patient Education And Counseling Billing Computer-Aided Audit Tools Regulatory Compliance Medical Coding CBASIC Corticon Data Abstraction Auditing Queue Management Revenue Recognition Cross-Functional Collaboration Process Improvement

Other Skills

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Communication
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Detail Oriented
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Problem Solving

Roles & Responsibilities

At least two years of experience in healthcare revenue cycle, charge capture, coding, or transplant operations.
Active nursing license or coding certification (e.g., CCS, RHIT, RHIA, CPC, COC, CIC, or CCS-P).
Proficiency in revenue integrity, billing, and audit tools; experience with EHR systems (Epic preferred).
Working knowledge of transplant billing and compliance; experience with clinical chart review and data abstraction; strong problem-solving and process-improvement abilities in complex healthcare environments.

Requirements:

Review charge work queues for transplant and donor patient hospital and professional charges across all organ programs.
Identify, track, and resolve missing or misrouted charges in collaboration with Coding, Patient Financial Services (PFS), and clinical departments.
Assist with preparation of audit documentation for Medicare Cost Reports and other regulatory submissions, as needed.
Collaborate with IT analysts and Epic teams to optimize charge capture tools and workflows within Epic; partner with Transplant Financial Coordinators and Transplant Nurse Coordinators to verify transplant phase as needed.

Job description

Overview:

Where precision meets purpose in transplant care.

The Transplant Charge Analyst will review and audit all inpatient and outpatient pre-transplant charges. Team member will ensure that transplant and non-transplant related charges are being processed and recorded appropriately to ensure accuracy of the annual Medicare Cost Report according to corporate policy and governmental regulations.

Responsibilities:

Key Responsibilities

Reviews charge work queues for transplant and donor patient hospital and professional charges across all organ programs
Identifies, tracks, and resolves missing or misrouted charges in collaboration with Coding, Patient Financial Services (PFS), and clinical departments
Assists with preparation of audit documentation for Medicare Cost Reports and other regulatory submissions, as needed
Participates in cross-functional meetings and supports Charge Capture Review Team initiatives
Collaborates with IT analysts and Epic teams to optimize charge capture tools and workflows within Epic
Partners with Transplant Financial Coordinators and Transplant Nurse Coordinators to verify transplant phase, as needed

Qualifications:

Minimum Qualifications

Minimum of two (2) years of experience in healthcare revenue cycle, charge capture, coding, or transplant operations
Active nursing license or coding certification (e.g., CCS, RHIT, RHIA, CPC, COC, CIC, or CCS-P)
Proficiency in revenue integrity, billing, and audit tools; experience with EHR systems (Epic preferred)
Working knowledge of transplant billing and compliance requirements
Demonstrated ability in process improvement and problem-solving within complex healthcare environments
Experience with clinical chart review and data abstraction