Charge Analyst II

Job Description

Department
Revenue Cycle
 

Job Summary

Responsible for assigned specialty areas and the accurate and timely posting of charges, resolving correct coding initiative (CCI) edits, improving clinical documentation to support ICD-10 requirements, and acting as an educator to department staff and physicians. Serves as a research resource to investigate National and Local Coverage Determinations (NCD) (LCD) and provides education to various Revenue Cycle staff, department personnel, and physicians. Works with physicians and department staff to enhance clinical documentation that supports procedures performed and various patient diagnoses. Participates in payor audits of specialty areas by performing audits, coordinating audit exit conferences, tracking audits and results, and appealing denied charges through formal appeal process. Acts as ICD-10 educator and leader for assigned departments to assist department staff and physicians in their clinical documentation to support charges and coding. Performs other Revenue Cycle duties as assigned.

Required Qualifications

- Require a Bachelor’s degree. Relevant hospital charging, coding or clinical health care work experience can substitute for the required degree.
- Require a minimum of eight (8) years of charging, coding or clinical health care experience involving charging practices and patient flow processes in a specialty area (i.e., Interventional Radiology, Cardiology, General Surgery and Vascular Surgery).
- Require coding certification (CPC) within one (1) year of hire.
- Require coding certification from AAPC in specialty area (i.e., Certified Interventional Radiology Cardiovascular Coder (CIRC) or Radiation Oncology Certified Coder (ROCC) within two (2) years of hire.

Preferred Qualifications

- Prefer demonstrated interpersonal and communication skills.
- Prefer working knowledge of commonly used computer applications.
- Prefer the ability to work with minimal supervision.
- Prefer demonstrated proficiency with medical terminology.
- Prefer demonstrated proficiency with specific charging and coding as it applies to Interventional Radiology, Cardiology, General Surgery, and/or Vascular Surgery.
- Prefer demonstrated knowledge of Medicare, Medicaid, and Commercial billing rules, coverage requirements and reimbursement methodologies.
- Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, CSFA and CST).

Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10!   Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals.  Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America.  In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact.  Now it is your turn to see yourself here.

Recognition:

* 5- Star Quality Rating- SMH- Sarasota is the only hospital in Florida to earn the federal Centers for Medicare & Medicaid Services' highest rating every year since its inception.

* 50 Best Hospitals- SMH ranked among U.S. News & World Report's 50 Best Hospitals in two specialties, Rehabilitation and Obstetrics/Gynecology in 2023-2024, and among the nation's top 10% high performers in 18 other medical specialties, procedures and conditions.

* World's Best Hospitals- SMH- Sarasota has made Newsweek's prestigious list six years in a row, since the global rankings began in 2019.

* "A" for Patient Safety- SMH- Sarasota has earned straight A's since it began participating in the Leapfrog Group's hospital safety survey in 2016. 

* Magnet Hospital- SMH has been recognized as a Magnet hospital for the past 20 years by the American Nurses Credentialing Center, a continuous achievement for nursing excellence shared by less than 1% of hospitals nationwide. 

* America's Best Employer/Workplace- SMH topped Forbe's list of America's Best Employers, ranking among the top 20% of large employers across all industries in 2024, and #1 healthcare employer in Florida in 2023. The health system also earned a 5-star rating in Newsweek's 2024 list of "America's Greatest Workplaces for Women." 

The benefits of being the best:

Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:

Total Rewards Package

• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Competitive rates 
• Bonuses offered 
• Disability Insurance
• Retirement Savings Plan: 403b
• Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 10% discount
• Credit Union w/ teller machines on campus
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Recognition Programs
• Referral Programs
• Tremendous growth opportunities for hard workers!

Employment Screening Requirements

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/