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This position supports the clinical charging manager and serves as a facility liaison to the Alameda Health System (AHS) staff as it relates to charge capture/billing concerns. Works daily work queues to resolve bill holds for charge related issues assigned to the revenue integrity Charge Capture unit in the charge review Revenue Guardian and, DNB work queues.
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Designs and implements processes to facilitate timely charge capture and to address complex billing issues related to the procurement of and charges for pharmaceuticals. Ensures coordination of activities with the departmentally-based activities of scheduling, registration, medical recordsâ management, chart preparation, pre-certification and charge capture.
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As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools.
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Supports billing department functions including electronic charge capture, payment posting, and accounts follow up as directed by the billing manager. The Revenue Cycle Analyst position will partner with the billing manager, billing team and other stakeholders across the revenue cycle path to identify and analyze the root causes of user and system issues regarding eligibility verification, provider enrollment, customer service, and billing denials, develop efficient workflows, and implement technology solutions within the revenue cycle's operating systems.
$25 - $29 an hourFull-timeExpandApply NowActive JobUpdated 0 days ago - UpvoteDownvoteShare Job
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Optimizes revenue through charge capture, recommends updates for charge master, auditing, reviewing and processing denials and appeals, working with contracts, and performance improvement initiatives.
$18.43Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Three (3) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities.
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This role includes maintenance of revenue integrity through charge master files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing review. Under direction of leadership, the CDM Analyst works with the Revenue Cycle, Finance, and clinical departments to analyze coding and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools.
$62,774.4 a yearFull-timeExpandApply NowActive JobUpdated 1 days ago - UpvoteDownvoteShare Job
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Ensure revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster. This leader will perform audits and reviews of departmental charge capture and reconciliation, denials management for all campuses, daily reporting and coordinated work on unbilled/DNFB, departmental education on the aforementioned functions, and the identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle and hospital and clinic operations, in order to enhance revenue potential and compliance.
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Demonstrates understanding of key revenue cycle areas; including, but not limited to: insurance verification, pre-registration, financial counseling, coding, billing, collections, denials/underpayments, customer service, vendor management, CDM, charge capture, utilization review.
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Oversee communication of CDM/CFF/FSC maintenance activities to clinical departments and DTS staff to ensure requested changes are implemented (including changes that affect charge capture, charge reconciliation and claim processing.
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Utilization management , quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers. Hospital Billing Compliance Auditor Hybrid.
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Develops and administers coding and billing compliance training related to audit findings. Tracks and reports updates to coding and billing regulations. Reviews and analyzes claims data, medical records, and billing and payment information to determine if charges and reimbursement are supported according to federal and state program guidelines.
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Analysis of findings to identify trends/problems in billing and documentation. Certifications in one or more of the following is preferred: a) American Academy of Professional Coders (AAPC) Certifications: Certified Professional Coder (CPC), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), and/or Certified Professional Medical Auditor (CPMA.
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Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.
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The incumbent serves as an expert in quality assurance of design, development and application of integrated charge capture systems and programming designed to bridge health informatics with charge capture, billing requirements, and workflow for optimal efficiencies and to secure reimbursement.
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charge capture billing jobs
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