Revenue Integrity Charge Capture Coord

Job Overview

Overview

Responsible for ensuring that all hospital and professional charges are captured and posted to patient accounts in an appropriate, compliant, and timely manner in accordance with M Health Fairview Revenue Cycle Charge Capture Policy's required timeframe of 24 hours after the date of service or discharge and that charges are adequately supported by clinical documentation and orders as appropriate. Identifies, analyzes, and reconciles billing errors or missed charging opportunities. Facilitates and supports charge reconciliation training and processes to ensure accurate and timely charge entry, reduction of late charges and escalation of charging issues or open encounters. Works edits and errors within the charging systems, and trends data to identify risks, root cause resolution and opportunities for continuous performance and quality improvement.

Responsibilities

• Collaborates with clinical department staff and managers, IT analysts and Compliance staff to ensure charges are applied correctly through the system, contributing to the process of collecting expected payment for services provided.
• Acts as a liaison for clinical departments and revenue cycle leadership to address charge related questions or concerns. Promotes opportunities for continuous process improvement and works with department leadership to implement workflow changes as necessary.
• Supports functions of hospital and professional charge capture, charge reconciliation, and associated workflows through training, education, and monitoring.
• Develops custom charge capture educational materials for leaders and all clinical provider types
• Serves as an active participant in the ongoing education to physicians, clinical departments, service line leaders, charge champions and staff on proper usage or orders-based charging and charge codes.
• Monitors and works assigned account, charge review, claim edit, charge router review, and charge router error pool work queues. Identifies missed revenue and suggests improvements to ensure timely and accurate clean claim billing.
• Maintains a solid understanding of medical records, coding, hospital charging, billing competency and compliance to all Federal, State, and Local regulations.
• Utilizes reporting resources to monitor KPIs such as open encounters, missing charges, late charges, and reporting to ensure that billing departments are performing daily charge reconciliation, all according to policy.
• Conducts routine audits of hospital and professional charges of all service lines to ensure complaint charging.
• Recommends system configuration and revenue guardian edits to prevent commonly missed charging scenarios.
• Understands and adheres to Revenue Cycle’s Escalation Policy.
• Meets or exceeds quality and productivity standards set by direct supervisor or manager.

Required Qualifications

• A.A./A.S. in related healthcare field, or two years of experience in Revenue Cycle related work
• 2 years of applicable Revenue Cycle experience

Preferred Qualifications

• A.A./A.S. in Health Information Management or related healthcare field, or 5 years applicable experience in Revenue Cycle related work
• 5 years of applicable Revenue Cycle experience
• AHIMA Coding Certification
• AAPC Coding Certification
• NAHRI Coding Certification

 

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Salary : $30 - $43