Revenue Capture Analyst

Job Details
Job Summary:
The Revenue Capture Analyst reports directly to the Director, Revenue Cycle, with an indirect report to the Director of Revenue Integrity. The Revenue Capture Analyst is responsible for medical record review of orders and clinical documentation to capture all applicable nursing/ancillary and/or procedural revenue based on Hospital charge policy and criteria; Communicates with all clinical staff and leadership to prevent and/or correct documentation deficiencies that are leading to revenue loss for their department.
The incumbent may have access to highly confidential patient, employee and/or Mercy proprietary information, and must handle & protect the information in accordance with hospital & system policies, HIPAA requirements and the highest level of ethical standards. The incumbent is responsible for reporting all security events, potential events, or other security risks to the organization. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position, and conducts all job responsibilities according to the Mission and Values of Mercy Hospital.
Coding Certification preferable - CPC, RCC, CCS. Bachelor's degree in health related field or Bachelor's or Associates degree in accounting/finance is preferred. Clinical and/or financial background including proficiency in financial analysis. Coding background/knowledge. Experience and general knowledge with medical terminology and anatomy/physiology. General understanding of the various charging and coding systems in healthcare. Experience with medical record review, charging, coding, and/or billing. Proficiency in the use of personal computers and Microsoft Office for communication, database development, financial analysis, and report generation. Strong analytical problem-solving skills required. Strong analytical problem-solving skills required. Ability to work independently and efficiently and in a team environment. Ability to analyze and recommend appropriate actions. Self-motivated, detail oriented, with strong organizational skills.
Principle Responsibilities:
1. Collaboratively work with healthcare team (charge nurse, patient care nurse, hospitalists, surgeons, coders, etc.) to ensure all patient charges are properly captured.
2. Capturing of all observation charges including identifying appropriate carve-outs.
3. Daily reconciling of charges posted for each department (nursing charges, observation charges, hospitalist charges) in accordance with Directive #176 charge posting policy.
4. Daily rounding
5. Develop tools to regularly report measurable results.
6. Seek appropriate education and training to become knowledgeable in all areas of position.
7. Research standard business practices and provide education to hardwire.
8. Maintain appropriate certifications and licensures.
9. Participate in work groups and committees as needed.
10. Performs other duties as assigned.

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