Revenue Integrity Charge Coordinator Atrium Health Revenue Capture Support

10439 Enterprise Corporate - Revenue Capture and Audit

Full time

Yes

40

Weekdays

Pay Range

$22.50 - $33.75

Major Responsibilities:

• Perform charge reconciliation activities

• Review and verify patient charges captured in the billing or charge review system

• Reviews, analyzes and investigates discrepancies in charges. Makes requested and necessary changes for professional and/or hospital charges

• Assists in developing procedures that will utilize system capabilities. Identifies opportunities and recommends system enhancements for charge capture and reconciliation functions.

• Monitors Epic Workqueues to investigate and processes charges accordingly

• Acts as a department resource regarding charge entry and charge capture

• Reviews, interprets, analyzes medical record documentation to ensure accurate charge capture

• Responsible for running and exporting reports (charge reconciliation, productivity, missing charges, etc.) from revenue cycle systems (BI Launchpad, Epic) to assist with trending and identification of charge improvement opportunities

• Prepares appropriate communications and status updates to charge integrity stakeholders. Anticipates and responds to information relevant to key stakeholders.

• Recommends improvement/modification to charge reconciliation workflow as needed.

• Reviews and monitors financial outcomes related to charge integrity opportunities identified

• Seeks assignments and special projects from Revenue Integrity Leadership to facilitate growth

• Other duties as assigned

Education Requirements:

• High School Graduate or equivalent

Experience Requirements:

• Typically requires 2 years of experience in health care, preferably revenue cycle operations

Knowledge, Skills & Abilities Required:

• Physician revenue cycle operations and billing systems

• Excellent, effective written and verbal communications skills. Excellent public relations skills. Ability to work well within a team atmosphere

• Ability to work independently in a remote environment

• Critical thinking skills. Strong analytic skills, with high attention to detail.

• Excellent problem-solving skills with the ability to successfully and positively interact with individuals across all hierarchical levels within the organization, as well as outside partners (e.g., insurance/payer representatives)

• Knowledge of Physician reimbursement, hospital managed care contracts; government payer reimbursement regulations

• Knowledge and experience using physician clinical systems and Microsoft applications (Excel, Word, PPT, Outlook, etc.)

• Knowledge of medical terminology

• Knowledge of Physician coding: ICD10, HCPCS, CPT, Revenue Codes, DRGs; experience with Physician charge description masters (CDMs)

• Excellent organizational and prioritization skills

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program