Revenue Assurance Capture Specialist

10288 Revenue Cycle - IL Revenue Assurance Clinical

Full time

Yes

40

Full time, fully remote.

This position is a remote role.

• Major Responsibilities:

  • Provide comprehensive, consistent and accurate charge entry for assigned hospital departments.
  •  Identify, investigate, communicate and mitigate inconsistent trends in clinical documentation or charging with specific departments. Escalate issues regarding revenue capture or documentation when appropriate.
  • Perform analysis of charges that correlate with documented medical/nursing interventions and resolve identified charging and billing issues.
  •  Collects, reports, and maintains appropriate data in relation to charge capture and/or quality. Collaborates with teammates to achieve shared goals and metrics.
  •  Perform periodic retrospective charge capture reviews of assigned departments to identify charging/billing issues.
  •  Verify and respond to questions from various departments, patients or leadership regarding charging accuracy.
  •  Provide orientation, education training and information to newly hired teammates regarding charge capture, policies, procedures, and underlying processes.
  •  Conduct quality audits of accounts processed by the team and report findings with department Quality and Education Coordinator.
  •  Review, identify, and process late, missing or lost charges for various hospital departments on an as needed basis.

  License/Registration/Certification:

  • Certified Coding Associate (CCA) issued by American Health Information Management Association (AHIMA)

  
  Education/Experience Required:

  • Education: Associate's Degree or equivalent knowledge
  • Experience: Typically requires 3 years of experience in hospital coding

  
  Knowledge, Skills & Abilities Required:

  • Certified Coding Associate (CCA) valid and current certification required.
  • Knowledge of third-party healthcare insurance plans, government regulations, hospital billing and claims.
  • Able to review medical records, analyze, and apply billing and coding rules.
  • Strong computer skills including Microsoft Office and Windows applications. Familiarity with hospital applications.
  • Ability to work under time pressure and meet deadlines.
  • Excellent communication skills including ability to document progress of routine work.
  • Must be able to work independently yet have strong desire to collaborate with peers to meet team goals and metrics.
  • Willing to modify personal workload/workflows in support of evolving department process and procedures for improved efficiencies.
  •  Ability to life 20 pounds and exposed to normal remote work environment.

  #LI- Remote

  #LI- Coding

  #LI- Hospital Coding

  #LI- CCA

  
  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.