Job Details

Charge Segregation Analyst

Job Description Summary

The Charge Segregation Analyst is responsible for ensuring the accuracy and compliance of research-related billing in Epic. The role involves reviewing and validating charges associated with clinical research studies, directing charges to the appropriate payer based on current coverage analysis, and collaborating with multidisciplinary teams to improve billing processes.

Responsibilities

• Review and validate research-related charges in the Epic system.
• Direct charges to the appropriate payer based on coverage analysis.
• Collaborate with multidisciplinary teams to improve billing processes.
• Under general supervision, manage and coordinate tasks for small projects related to billing compliance.
• Prepare and maintain project documentation, including needs analysis, business cases, and feasibility studies.
• Control budget, scope, and schedule of billing improvement initiatives.
• Prepare status reports and provide updates to stakeholders.
• Identify potential problems, facilitate resolution, and implement risk mitigation strategies.

Qualifications

• Bachelor's degree or equivalent experience.
• 5 years of experience in support functions (or 0-2 years for a professional).
• Strong understanding of billing and payer systems.
• Project management experience with moderate complexity projects.
• Excellent communication and documentation skills.

EEO Statement

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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