Charge Capture Rules Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Charge Capture Rules Analyst responsible for maintaining Big Data charge capture functionality. Collaborating internally to enhance SaaS solutions and improve healthcare payment processes.
Responsibilities:
- Maintaining the Charge Integrity SaaS solution’s specialized and proprietary Big Data charge capture functionality
- Working collaboratively with internal resources to ensure the Charge Integrity SaaS Solution is providing excellent value to each client
- Performing updates and ongoing maintenance to data elements that leverage applied mathematics to uncover missed charges and coding variances
- Utilize SQL to update and maintain evidence-based charge integrity rules
- Recommends and assists in implementing solutions to complex issues
- Participates actively in applicable meetings, discussions and other such undertakings relevant to Charge Integrity SaaS Solution performance
- Effectively executes project work plans while retaining the ability to revise plans as dictated by evolving needs and/or requirements
- Remains active within the healthcare industry as it pertains to matters of charging practices so as to maintain an ongoing awareness of best practices, evolving trends and industry standards
Requirements:
- Bachelor degree or higher
- Capable of analyzing large quantities of data, identifying patterns, and summarizing by priority
- Demonstrates effective verbal and non-verbal communication skills, exercises sound judgment, and commitment to teamwork
- Highly self-motivated, desire to succeed, and strong attention to detail
- Knowledge of charge capture terminology and charge capture best practices
- Ability to work both independently and as part of a team
- Able to multi-task and set priorities
- Excellent written, verbal communication, and presentation skills
- MS Office skills, especially MS Excel and MS PowerPoint, including the ability to capture and manipulate data at a high level in MS Excel spreadsheets
- Understanding of SQL and database structures
- Background in revenue integrity, revenue cycle, or healthcare coding
Benefits:
- Competitive total rewards (base salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- Generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays
- Flexible time off for our exempt team members + 13 paid holidays
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource groups
Similar Jobs
Analista Monitoramento Jr
Monitoring Analyst responsible for real-time IT infrastructure health and incident management at Stefanini. Collaborating with technical teams and managing alert systems to ensure operational efficiency.
Automation and AI Agents Analyst – Senior
Lead development and maintenance of AI agents and automations for Customer Success. Use n8n, Python and APIs to integrate, scale and monitor production solutions.
Analista de Serviços Pl
Analista de Serviços Pl executing migrations, data manipulations, and service activations for SaaS products. Collaborating with internal teams and using AI to transform processes.
Junior Integration Analyst
Integration Analyst developing SaaS solutions for data integration challenges in various industries. Collaborating with technical teams and clients to provide data communication and integration solutions.
Real Time Analyst – Team Lead
Lead Real Time Analyst function ensuring queue stability and operational execution for a remote healthcare staffing platform. Drive clarity, accountability, and improvement across high-volume operations.
Real Time Analyst – Team Lead
RTA Team Lead managing live operations across multiple lines of business in 24/7 environment. Ensuring operational excellence and queue stability through strong leadership.
Bilingual Telehealth Board Certified Behavior Analyst, BCBA
Bilingual Board Certified Behavior Analyst leading telehealth services for FronteraCare, transforming behavioral health delivery for children and families in New Mexico. Committed to evidence-based, compassionate care and innovative technology.
IAM Analyst
IAM Analyst tasked with enhancing identity and access management for cutting-edge e-commerce company. Collaborating with teams to ensure security best practices and compliance.
Telehealth Board Certified Behavior Analyst, BCBA
Board Certified Behavior Analyst leading telehealth services in behavioral health for children. Focused on innovative care models that integrate technology for personalized treatments.
Intake Analyst
Health underwriting intake analyst evaluating submitted data for prospective businesses to join health plans. Setting risk-based pricing and ensuring consistency in submitted information.
Pharmacy Analyst II
Pharmacy Analyst II supporting pharmacy operations across Commercial and Marketplace lines of business at BCBST. Responsible for PBM readiness, investigating service disruptions, and improving processes across teams.
Software License Analyst
Software License Analyst managing software license compliance and optimization using ServiceNow SAM. Driving cost savings and supporting audit readiness to ensure regulatory adherence.
Principal Policy and Trade Analyst – Solar and BESS
Principal Policy and Trade Analyst for Anza empowering clients with market insights on solar PV and BESS. Leading industry engagement, content development, and strategic direction for market intelligence.
Senior Provider Contracting Analyst
Analytical support for provider contracting at Highmark Inc. Monitoring contract administration and supporting negotiations with outside entities.
Senior Loan Closing Analyst – Mortgage
Loan Closing Analyst Sr closing complex loans for PNC’s Mortgage organization. Responsible for documenting processes and facilitating loan disbursement remotely between 10a-7p EST.
Senior Client Account Support Analyst
Client Account Support Senior Analyst providing support for Accredo services and ensuring client satisfaction. Collaborating with teams to resolve issues and improve processes, working fully remote.
Analista de Incidentes de Redes JR
Junior Network Analyst ensuring stability and excellence of company's backbone. Seeking candidates skilled in advanced protocols and dynamic problem-solving in a remote setting.
Healthy Planet Analyst
Epic Healthy Planet Analyst helping healthcare clients with strategic process improvements and project management. Collaborating in a technology-driven environment for enhanced data ecosystem solutions.
Client Delivery Analyst
Client Delivery Analyst at Machinify assisting healthcare clients with Complex Payment Solutions. Responsible for requirements gathering, solution documentation, and client reporting.
Compensation Analyst III
Compensation Analyst III at Hanger, Inc. providing analytical support for compensation programs. Collaborating closely with HR and Finance to ensure effective compensation practices across the organization.