What are the responsibilities and job description for the Charge Capture Analyst - Revenue Integrity_QHS (Full-Time, 40 Hours, Day Shift) position at The Queens Health Systems?
RESPONSIBILITIES
I. JOB SUMMARY:
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
B. MANUAL MATERIAL HANDLING:
C. NON-MANUAL MATERIAL HANDLING:
III. TYPICAL WORKING CONDITIONS:
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
B. CERTIFICATION AND LICENSURE:
C. EXPERIENCE:
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.
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:
- Seeing. Hearing. Speaking. Finger dexterity.
B. MANUAL MATERIAL HANDLING:
- Infrequent: N/A
- Occasional: N/A
- Frequent: N/A
- Constant: N/A
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:
- Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
- Bachelor's degree required, preferably in business administration, finance or health care administration; or four (4) years of experience in healthcare finance or related field such as business services or revenue integrity may be substituted for the education requirement.
B. CERTIFICATION AND LICENSURE:
- No certification/license requirement.
C. EXPERIENCE:
- In addition to the education requirement, three (3) years of experience in revenue integrity, coding, charge capture or billing compliance, preferably in a comparable organization.
- Experience to demonstrate the following:
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 Opportunity Employer / Disability / Vet
Your Health. Our Legacy
Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.
Our Values:
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Excellence is our quest