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Serves as a financial expert between billing, IT, and clinical teams for revenue integrity. 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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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Understand/explain policies regarding services, pricing, insurance billing, and payment of account. HCA Healthcare Co-Founder. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Scheduling, Registration, Insurance Verification, Hospital Billing, Revenue Integrity, Collections, Payment Compliance, Credentialing, Health Information Management, Customer Service, Payroll, Physician Billing, and Medicaid Eligibility and Advocacy.
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At HCA Healthcare, we are committed to caring for patients with purpose and integrity. If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call.
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Responsible for upkeep of the charge master and ensuring the compliance and integrity of the charges and billing. Performs charge master integrity audits as well as charge audits to ensure all revenue is captured appropriately at the account level and in the billing system.
$70,989.54 - $103,897.17Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Benefits Presbyterian/St. Lukes Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
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You will provide assistance to the HSC Document Imaging Manager as it relates to facility based HSC document imaging staff. You will be responsible for managing facility based HIM operations and staff including, but not limited to, record pick up and reconciliation, release of information request processing, hardcopy retrieval of medical records, tumor and/or trauma registry, and processing of birth certificate/paternity papers as applicable.
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You will assist the Regional HIM Director with the oversight and implementation of facility - related HIM Service Center (HSC) operational planning, service level agreements, budgets, workflow processes, and internal controls.
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Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre-authorization, admission/registration, service pre-payment, etc.) Inform Regional Patient Access Director of any significant issues in the Patient Access area (e.g., Pre- registration delays, pre-authorization backlogs, etc.
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Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
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Req ID : 1604 Working Title : Sr. Physician Coding Compliance Auditor Department : CSRC PB RCC Audit and Edu Business Entity : Cedars-Sinai Medical Center Job Category : Patient Financial Services Job Specialty : Revenue Integrity Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $38.87 - $60.25.
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Responsibilities include coordinating and executing revenue integrity functions such as coordination of organizational employee education and training on financial systems as they derive their information from clinical service information systems; charge master administration and maintenance, regulatory compliance for revenue cycle system service charges, and revenue-cycle related audits, analyses, reporting and recommendations.
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Reporting to the AVP, Technology and Informatics, the Director, Technology and Informatics will partner with HIM/Coding Operations, Vendor Resource Management (VRM), Coding Quality Review (CQR) and Clinical Data & Registry Abstraction (CDRA), Field Leadership, and ITG to provide direction, consultation, and oversight for technologies utilized within the HIM, Coding, & Abstraction portfolio.
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Coordinate with SSC directors/managers to identify trends and address issues related to claim rejections or payment denials directly associated to billing information generated by the charge master, under the guidance of the Charge Master Manager.
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integrity billing jobs
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