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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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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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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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You will provide assistance to the HSC Document Imaging Manager as it relates to facility based HSC document imaging staff. 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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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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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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This individual collaborates with facility personnel, CFO’s and Division CFO’s, under the guidance of the Charge Master Manager to ensure facility charge masters are updated and maintained timely and that accurate charging and coding is reported with patient billing.
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Assists, as needed, with data entry, billing/audit questions, facility inquiries, in-service education, database maintenance, statistical analysis and processing of reviews as determined by the Charge Master Manager and Director of Compliance.
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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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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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Required Licenses/Certifications : Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC (CPC, COC, CIC) and/or certification as a Revenue Cycle Integrity Professional (CRIP.
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Stays abreast of current regulations and industry charging and billing guidelines. Our Talent Acquisition team is reviewing applications for our Charge Master Analyst opening. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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In addition to the financial management of the pharmacy department, the position entails the management of the 340B program, contract pharmacies, pharmacy supply chain management, revenue integrity, EPIC billing and charge master management.
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As an HIM Director with Las Palmas Medical Center, you can be a part of an organization that is devoted to giving back! Las Palmas Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues.
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