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The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing departments regarding lost charges, billing questions, proper coding and charging, education on appropriate charge capture and providing CDM support, research and maintenance of the Charge Description Master.
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The Revenue Cycle Analyst will work directly with the Operations Director to support the Clinical Department and revenue cycle and perform charge capture analysis. Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations.
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Collaborates with PSA Liaison to review and provide coding/documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
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Knowledge, Skills & Abilities Required:Specialty Medical Coding Certification must be held in the area(s) you will support. Virtually attends Physician/APC education that include coding and/or documentation topics, such as Documentation Specialist clinician low risk review meetings, Risk Adjustment/HCC meetings, and/or Medical Group Compliance reviews/meetings.
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Manages the revenue integrity function, ensuring accurate charge capture, coding practices, and resolution of payment variances to secure maximum reimbursement. Key areas of responsibility include scheduling, registration, insurance verification, financial counseling, charge master, charge capture, patient financial services, provision of charity, and overall collection of patient service revenues across the revenue cycle.
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Ensures the revenue cycle operations support an outstanding patient experience, throughout the entire patient financial care continuum. Summary/Objective:The Vice President, Revenue Cycle leads revenue cycle operations, ensuring optimal revenue integrity, overall strategy, and overseeing the integration and efficiency of revenue cycle operations for UMC Health System’s acute care and outpatient facilities, as well as, medical practices.
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Support Revenue Cycle activities, such as charge capture, patient access, medical coding, and revenue cycle optimization. Perform Oracle Health (Cerner) EHR configuration support tasks and review/update builds.
$142,300 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Oversees the development and enforcement of policies and procedures that comply with healthcare regulations, ensuring a robust compliance and risk management framework. Essential Functions•Develops, leads and improves revenue cycle workforce, processes, and technologies to ensure they are developing, building and complying with a clearly defined, effective revenue management approach consistent with the overall mission and strategic plan of UMC Health System.
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Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash managementPREFERRED QUALIFICATIONSActive certification as a RHIA, RHIT, or CCS, CCS-P from AHIMA or CPC, COC from AAPC.Previous Hospital Billing and Coding experience.
$97,000 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Masters use of clinical systems to ensure efficiency, excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.
$245,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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As a Revenue Cycle Ops Manager for Reproductive Medicine, you will support and coordinate clinic revenue cycle functions that include financial clearance, charge capture, billing, coding, follow-up, denial management, and customer service aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, and efficiency.
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Additional responsibilities include leading teams tasked with maintaining all aspects of the Charge Description Master and professional fee schedules and accurate charge capture, to include resolving charge, CPT/HCPCS, modifiers, revenue code and unit discrepancies preventing third party insurance claims from clearing edits in billing system by applying CMS CCI, NCCI, MUE and other governmental billing regulations and payer guidelines to bills in advance of submission to third party payers.
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Knowledge and experience working in specific revenue cycle management functional areas including patient access (scheduling, insurance verification, financial counselling, registration and admitting), mid revenue cycle (revenue integrity, charge capture, coding) and patient accounting (billing, collections, denials, managed care contract administration, etc.
$233,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Revenue integrity, charge capture and coding. We currently are seeking a highly motivated senior, with a focus on healthcare Revenue Cycle Management (RCM), to support client engagement teams, work with a wide variety of clients to deliver professional services, and support business development activities on strategic and global priority accounts.
$176,500 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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We currently are seeking a highly motivated Manager, with a focus on healthcare Revenue Cycle Management (RCM), to support client engagement teams, work with a wide variety of clients to deliver professional services, and support business development activities on strategic and global priority accounts.
$233,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago
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