Clinical Charge Capture Analyst Sr

Inova Fairfax Medical Campus is looking for a dedicated Clinical Charge Capture Analyst Sr to join the team. This role will be Full-time Day Shift: Monday - Friday, 8am - 4:30pm.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Clinical Charge Capture Analyst Sr Job Responsibilities:

• Performs a range of duties required to coordinate charge entry and charge capture responsibilities.
• Reviews accounts in Charge WQs daily, applying coding rules and requesting missing information necessary to release the charges.
• Ensures services billed are consistent with the record for compliance with all clinical billing regulations, makes additions and deletions to the charges as necessary and monitors for delinquent charges; makes corrections in patient accounting as needed.
• Assists in the ongoing updates of CPT and ICD10 coding to ensure proper reimbursement guidelines and educational materials are correct and updated, as necessary. Notifies clinical teams of changes.
• Evaluates registered procedure codes and diagnoses on an ongoing basis, and recommends corrections and changes for accuracy and continuous improvement.
• Analyzes charge review findings and makes recommendations to service line leadership to improve documentation, charging flow, and accuracy.
• Reviews denial trends transferred from the PFS team for documentation and charging opportunities. Corrects or provides appeal support for claims, as necessary, and provides feedback on educational gaps.
• Works closely with Health Information Management (HIM), Clinical Documentation Improvement (CDI), Clinical Informatics, and Patient Financial Services (PFS) departments to resolve charge capture and claim edit-related issues.
• Provides ongoing support to the manager to improve service line charge capture and charge reconciliation workflows.
• Works with service line leaders, providers, and clinical teams to ensure charge and documentation compliance for new and existing services, implementing charge capture process improvements and annual updates to CPT/HCPCS code selections.
• Ensures accurate and complete assignment of CPT/HCPCS codes, modifiers, and diagnoses that are supported by medical record documentation.
• May perform additional duties as assigned.

Clinical Charge Capture Analyst Sr Additional Requirements:

• Work schedule: Full-time Day Shift: Monday - Friday, 8am - 4:30pm
• Education: Associate's Degree
• Experience: Four (4) years of related clinical experience in field of practice, CPT coding or billing role
• Certification: Clinical specialty credentials or one of the following coding credentials: AAPC/AHIMA: RHIT, RHIA, CCA, CCS, CPC, CPC-H, or ROCC OR 2 additional years clinical experience in lieu of certification

About Inova Health System

We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 24,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.