Revenue Cycle Specialist | Revenue Cycle
Overview
Remote flexibility meets meaningful healthcare impact in this Transplant Charge Review Analyst opportunity. 💻 Work Style: Remote📍 Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX)🕒 FTE: Full-Time (1.0 FTE) Reviews and audits all inpatient and outpatient pre-transplant charges to ensure accuracy, compliance, and proper classification. Verifies that both transplant and non-transplant related charges are processed and recorded appropriately in alignment with corporate policies and governmental regulations. Supports the accuracy of the annual Medicare Cost Report by ensuring charge integrity and compliance with reporting requirements. Identifies discrepancies, performs detailed analysis, and collaborates with clinical, billing, and finance teams to resolve issues and improve processes. Plays a critical role in maintaining financial accuracy, regulatory compliance, and operational efficiency within transplant-related revenue cycle activities.
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