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ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding - REQUIRED. Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, and Revenue Codes - REQUIRED.
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This fully remote position is crucial for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) in collaboration with Epic Community Connect partners. Employment Type: Full-Time (40 hours per week), Fully Remote.
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Our client, a distinguished healthcare provider, is seeking a dedicated and experienced individual to join their team as a Coordinator for SBO Revenue Integrity. Position Title: Coordinator SBO Revenue Integrity.
$55 - $60 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Includes audits as directed by the Office of Medical Center Compliance Committee, and/or audits related to Office of Inspector General (OIG) Work plan items, Pre-Billing & Retrospective audits (i.e., Correct Coding, Facility E/M, Infusion Coding), Claims Resolution Audits, RAC audits, Modifier Audits, Charge Capture Audits, and other audits as needed or requested, Outpatient or Inpatient.
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Summary of Job Duties: The Charge Master Analyst is a technical expert relative to the Charge Description Master (CDM), ensuring that the charging practices are current, compliant and accurate to capture appropriate revenue on an ongoing basis.
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Essential Duties: Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR.
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Facility coders are responsible for coding: Inpatient, Ambulatory, Observation, Emergency Department which includes charge capture, charging medication administration and knowledge of multiple specialties consultation/procedures.
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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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Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) code, and Revenue Codes – REQUIRED.
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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. 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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Coder 2’s also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging. Outpatient or Professional Fee Coding, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder, AAPC specialty certifications.
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Provides leadership, oversight, and strategic direction for coding trends and charge capture Revenue Integrity cross all entities of the UofL Health System. Partners with HIM audit and education/training staff to facilitate enhancements in coding, documentation, and charge capture, serving and supporting all UofL Health physicians and operations staff.
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This includes charge capture and payment posting, processing of electronic EDI claims and EOBs, tracking and follow-up on outstanding or denied claims, and receivable management tracking and reporting.
$70,000 - $90,468 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a Bachelor's or Associate's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field.
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This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly supports medical necessity and level of care, assists in coding and charge capture, contributes to quality reporting measures, and ensures accurate reimbursement.
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