Physician Charge Capture Analyst

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton .

We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital Status: Full Time 80 Hours Shift: Days SALARY RANGE: 53,476.80 - 80,204.80 YEARLY General Summary: The Physician Charge Capture Analyst is responsible for reconciling patient charges to support timely and accurate billing of physician service revenue for all employed and contracted (locum) physicians.

Utilizes reports from Epic comparing charges to appointments/scheduled services. Develop reports and scorecards in Epic to monitor charge capture performance at the practice level as needed to track overall encounter close and charge capture performance. Analyzes large datasets to identify trends, variances, and opportunities for revenue enhancement.

Supports analytics with account review findings to identify root cause and validate issues. The ideal candidate is detail-oriented and can turn data into actionable information providing reporting in a timely manner to leadership to support business decisions and prioritize needs. Epic experience is required along with a willingness to continuously develop and acquire new technical skills.

Must be able to communicate effectively with stakeholders to effectively drive accountability in physician charge capture and reconciliation processes.

Responsibilities

1. Reconciles charges against appointments and scheduled encounters. Compares findings against open encounter reports to identify missing charges and works with practice leadership to have encounters closed and charges entered.
2. Tracks, trends, and validates all charge related issues by practice and clinician. Determines root cause of delays/missing charges and communicates with respective leadership supporting mitigation efforts.
3. For locum clinicians compares encounter list from Epic to monthly invoices to ensure all charges have been captured and billed. Identifying revenue mismatches based on cost center charges are attached to ensuring contracted physician revenue is billed and charged under the current cost center based on practice designation with CMS.
4. Develops and produces a quarterly charge capture scorecard at the practice level for all practice locations.
5. Provides coding change reports and monitors adherence to clinical notification policy.
6. Produces monthly report by clinician of number and type of encounters.
7. All other duties as assigned within the scope and range of job responsibilities. Required Education, Credential(s) and Experience: Education: High School Diploma or GED ; ; Credential(s): None Required ; Experience: Required: Five (5) years Physician Revenue Cycle Experience Preferred: Physician Revenue Cycle Analytics Experience Preferred Education, Credential(s) and Experience: Education: Associate Degree Credential(s): EPIC Access and Revenue Cycle Readiness Experience: To view a full list of all open position at Bayhealth, please visit: https://apply.bayhealth.org/join/