Senior Charge Review Analyst
Company: University Health
Location: San Antonio
Posted on: December 1, 2025
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES The Charge Review Analyst -
Senior is responsible for monitoring charge capture across all
clinical charging services lines at UH. The Senior Analyst, as part
of a team, oversees the charging practices of University Health and
maintains direct relationships with clinical department leaders,
nursing staff, technologists, I.T. staff, Billing, Coding,
Compliance, CDM, and other Revenue Integrity team members to act as
the bridge between clinical, financial, and I.T. staff working
within the Epic environment. This position performs and assists
with activities related to department rounding, workflow review,
departmental education/training, issue identification, root cause
analysis, and system updates needed for complete and accurate
clinical department charge entry and ensures department charge
review and reconciliation is performed on a daily basis.
Furthermore, the Senior Analyst is responsible for ensuring the
highest quality service is provided to our “customers”, which
includes clinical department leaders, nursing staff, co-workers,
hospital administration, and other revenue cycle colleagues. This
is in addition to providing training and educational support to
Revenue Integrity Charge Analyst team. This position is responsible
for organizing and scheduling meetings with appropriate personnel
as needed to resolve charging-related issues, and to provide prompt
responses to issues, concerns, and/or complaints. The Analyst
ensures high quality work and productivity in their performance.
This position requires strong critical thinking and interpersonal
skills, an established track record of working within the Epic EHR
system, and a proven understanding of communication, technical, and
revenue cycle skills. EDUCATION/EXPERIENCE Bachelor's Degree in
Accounting, Finance, or Healthcare is required. Minimum two (2)
years experience with hospital Revenue Integrity, Charge Capture,
Nurse Audit, Denials, and/or Clinical Documentation Improvement
required. Knowledge of medical terminology and coding required.
Experience working within the Epic hospital information systems
environment required. Experience with PC applications such as MS
Office Suite (Excel, PowerPoint, Word, Access), MedAssets, Hospital
Information Systems (Epic, 3M) required. Epic Certification in HB
Resolute highly preferred. Experience with payer reimbursement
methodologies (Commercial and Government) preferred. Experience
with analyzing Medicare fiscal intermediary bulletins and Center
for Medicare Services memorandums preferred. Experience
participating in a revenue integrity program preferred.
Keywords: University Health, San Antonio , Senior Charge Review Analyst, Accounting, Auditing , San Antonio, Texas
