What are the responsibilities and job description for the Charge Capture Analyst - Revenue Integrity_QHS (Full-Time, 40 Hours, Day ) position at Queens Health Systems?
Apply for Job Job ID 158093 Location Queen's Health Systems Full/Part Time Full-Time Regular/Temporary Regular Starting Pay $65,722.00 to $80,510.00 annual salary The starting pay displayed above may be higher commensurate with experience, or subject to the provisions of the applicable collective bargaining agreement. Add to My Favorite Jobs Email this Job
Responsibilities
I. JOB SUMMARY:
• Monitors charge capture and charge reconciliation outcomes.
• Reviews, develops, implements, evaluates, and revises charge guidelines to optimize revenue management; effectively implements recommendations and monitors results.
• Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future.
• Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS.
• Prepares and presents financial reports for executive management review.
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
• Seeing. Hearing. Speaking. Finger dexterity.
B. MANUAL MATERIAL HANDLING:
B. MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: N/A
• Frequent: N/A
• Constant: N/A
C. NON-MANUAL MATERIAL HANDLING:
C. NON-MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: Stand. Walk. Stoop/Bend. Reach: shoulder level.
• Frequent: N/A
• Constant: Sit.
III. TYPICAL WORKING CONDITIONS:
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
• Associate's degree required, preferably in business administration, finance or health care administration; or two (2) years of experience in revenue cycle or finance; or certification as a Certified Coding Specialist (CCS) or Outpatient Physician Coder (CPC) may be substituted for the education requirement.
B. CERTIFICATION AND LICENSURE:
B. CERTIFICATION AND LICENSURE:
• Coding certification preferred.
C. EXPERIENCE:
C. EXPERIENCE:
• In addition to the education requirement, three (3) years of experience in revenue cycle, preferably in revenue integrity, coding, charge capture or billing compliance in a comparable organization.
• Experience to demonstrate the following:
o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting.
o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement.
o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel.
o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting.
o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement.
o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel.
• Prior experience with Epic systems preferred.
Equal Employment Opportunity
Equal Opportunity Employer / Disability / Vet
Salary : $65,722 - $80,510