Clinical Charge Analyst (4592)

Summary

Trinity Health is seeking a Clinical Charge Analyst to audit inpatient and outpatient medical accounts for accurate charge capture and regulatory compliance. The role reviews clinical documentation and billing records, identifies discrepancies and financial impacts, collaborates with departments to resolve charging issues, and supports consistent billing practices.

Responsibilities

• Review medical records, itemized bills, and departmental documentation to validate charge accuracy
• Identify discrepancies and summarize audit findings, including financial implications
• Collaborate with departments to resolve charge issues and improve charging practices
• Support compliance with billing, documentation, and charge capture guidelines
• Maintain working knowledge of coding principles, billing rules, and charging processes

Skills

• Associate's degree (or equivalent working experience in health care patient care setting) required; LPN, LVN, RN, RT, PT or OT required
• Strong quantitative, analytical, and organization skills
• Proficient in chart review, clinical record information systems, and some coding methodologies
• Ability to understand and interpret medical records, hospital bills, and the charge master
• Ability to understand all ancillary department functions
• Ability to understand insurance terms (i.e. HMO/PPO, EOB, stop loss, etc.) and payment methodologies
• Ability to communicate orally and in written form
• Ability to utilize and understand computer technology
• Must be team oriented with strong interpersonal skills
• Bachelor's degree preferred
• Experience with PCs, Outlook, word processing and spreadsheet software applications are desired
• Previous clinical auditing experience preferred

Qualifications

Must Haves

• Associate's degree (or equivalent working experience in health care patient care setting) required; LPN, LVN, RN, RT, PT or OT required
• Strong quantitative, analytical, and organization skills
• Proficient in chart review, clinical record information systems, and some coding methodologies
• Ability to understand and interpret medical records, hospital bills, and the charge master
• Ability to understand all ancillary department functions
• Ability to understand insurance terms (i.e. HMO/PPO, EOB, stop loss, etc.) and payment methodologies
• Ability to communicate orally and in written form
• Ability to utilize and understand computer technology
• Must be team oriented with strong interpersonal skills

Nice to Haves

• Bachelor's degree preferred
• Experience with PCs, Outlook, word processing and spreadsheet software applications are desired
• Previous clinical auditing experience preferred

Benefits

• Remote work may be permitted at management’s discretion.