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Due to its service focus and project management emphasis, the Charge Capture Specialist role supports revenue integrity modernization initiatives and innovative solutions by providing ongoing review of automated charging functions within the Charge Master, EMR and associated processes.
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Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations.
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The Revenue Integrity Specialist will analyze patient accounts to identify charge capture opportunities, and work with Ballad Health clinical departments to improve charge capture accuracy by closing the feedback loops to those respective departments.
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Ensure changes within the charge description master (CDM) coincide and are implemented with clinical systems by reviewing flow sheets or charge capture preference lists. The Revenue Integrity Analyst serves as an integral part of both revenue optimization and compliance within the organization through leveraging an integrated, Epic based EMR to assist in the identification, reporting and resolution of any issues stemming from or with charge capture processes for both hospital and professional outpatient services.
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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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The Revenue Integrity Analyst will be responsible for helping maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine. The Revenue Integrity Analyst will work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis.
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Collaborate with the Revenue Capture, Revenue Integrity, and HB teams on the routine review of charge capture processes. You'll apply your extensive knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records.
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Responsible for charge master and charge capture. Oversight and direction of the revenue cycle includes third party payer relations, charge master, coding, patient accounting and planning performance improvement initiatives for billing processes to increase claim efficiencies and lower denials.
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Responsible for managing effective and efficient charge capture, charge master and fee schedule pricing operations including people, processes and technology that results in leading practice clean and compliant claim creation.
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Collaborates and assists in the resolution of problems causing payer denials, recoupments, and failed edits as they involve the charge capture, charge master and professional fee schedule, including clinical charging workflows.
$129,635 - $200,376Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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To be the operational subject matter expert on all charge integrity solutions, support charge description master maintenance efforts, coordinate revenue enhancement opportunities for all entities supported by the System Revenue Integrity Department and in alignment with the overall mission of Sharp HealthCare.
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SummaryThe Revenue Integrity Analyst works with the management team of Revenue Cycle operations to drive business value by supporting revenue cycle management in the analysis of Revenue Cycle data as well as proactive identification of process improvement, charge master compliance and accuracy as well as charge capture opportunities and applying analytical and critical thinking to generate innovative and practical solutions to revenue cycle issues.
$70,989.54 - $103,897.17Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Manager has direct oversight of all charge capture, revenue reconciliation, Charge Description Master (CDM) maintenance, strategic pricing, payment validation, denial management and avoidable write-off prevention, and all reporting and analytics.
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Works with revenue integrity, finance and clinical leadership to develop, implement charge capture entry, validation, reconciliation and correction processes; developing and implementing protocols, policies and procedures to support charge capture accuracy and timeliness.
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Leads efforts to identify new charge capture opportunities, while working closely with Revenue, Coding and the Charge Master team. Looks for trends in charge capture/billing discrepancies and reports findings to Business Operations Manager.
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