Charge Capture Coordinator - Rev Cycle/CBO - Santa Ana, CA ONSIT
KPC Global MSO
*THIS IS A FULLY ONSITE POSITION* SUMMARY The primary responsibility of the Charge Capture Coordinator is to monitor clinical activities related to billing compliance. This position acts as a liaison between the facility and the Centralized Business Office. This position must have the ability to work effectively with payers, patients, clinicians, Health Information Management, and other employees. REQUIREMENTS RESPONSIBILITIES AND DUTIES:
• Performs clinical reviews of medical records and associated billing to identify potential billing inaccuracies
• Works closely with clinical departments to improve charging related workflow
• Coordinates charge reviews for retrospective or concurrent, corporate special projects, and other billing reviews as identified
• Adheres to corporate procedures for additions, deletions, and other changes to the charge master to ensure accuracy
• Works with other parts of the organization (clinical, materials management) in an effort to maintain departmental CDMs
• Follows established and departmental policies, procedures, objectives, the workplace Code of Conduct. Practices a high level of integrity and honesty in maintaining confidentiality
• Ensures all implant charges are submitted within 24-48 hours of service date using the mark up and charging methodology in place
• Coordinates the timely purchase order processing and ensures that the agreed upon purchase order amount matches the actual purchase order and invoice received from vendors
• Act as a backup for OR Charge Coordination and assists with back up log for charge posting
• Assist with ad-hoc finance operations and revenue cycle projects
• Performs other duties as assigned EDUCATION & EXPERIENCE REQUIREMENTS:
• Minimum 2 years of experience with charge capture auditing, clinical documentation integrity or similar role for a complex acute care institution preferred ABILITIES REQUIREMENTS:
• Broad knowledge of health care and/or hospital business office practices and principles
• Knowledge and understanding of state and federal rules and regulations related to Medicare and MediCal
• Must possess proficient computer skills, Microsoft Word, and Excel
• Strong verbal and written communication skills
• Strong customer service skills that ensure a high level of customer satisfaction and promotes collaborative alliances and team work
• Must be able to set up and organize own work priorities and adapt to them as they change frequently PHYSICAL REQUIREMENTS:
• Body Positions: Sitting and standing for prolonged periods.
• Body Movements: Arm and hand dexterity.
• Body Senses: Must have command of close and distant sight, color perception and hearing.
• Strength: Ability to lift and move up to 25-pounds
• Performs clinical reviews of medical records and associated billing to identify potential billing inaccuracies
• Works closely with clinical departments to improve charging related workflow
• Coordinates charge reviews for retrospective or concurrent, corporate special projects, and other billing reviews as identified
• Adheres to corporate procedures for additions, deletions, and other changes to the charge master to ensure accuracy
• Works with other parts of the organization (clinical, materials management) in an effort to maintain departmental CDMs
• Follows established and departmental policies, procedures, objectives, the workplace Code of Conduct. Practices a high level of integrity and honesty in maintaining confidentiality
• Ensures all implant charges are submitted within 24-48 hours of service date using the mark up and charging methodology in place
• Coordinates the timely purchase order processing and ensures that the agreed upon purchase order amount matches the actual purchase order and invoice received from vendors
• Act as a backup for OR Charge Coordination and assists with back up log for charge posting
• Assist with ad-hoc finance operations and revenue cycle projects
• Performs other duties as assigned EDUCATION & EXPERIENCE REQUIREMENTS:
• Minimum 2 years of experience with charge capture auditing, clinical documentation integrity or similar role for a complex acute care institution preferred ABILITIES REQUIREMENTS:
• Broad knowledge of health care and/or hospital business office practices and principles
• Knowledge and understanding of state and federal rules and regulations related to Medicare and MediCal
• Must possess proficient computer skills, Microsoft Word, and Excel
• Strong verbal and written communication skills
• Strong customer service skills that ensure a high level of customer satisfaction and promotes collaborative alliances and team work
• Must be able to set up and organize own work priorities and adapt to them as they change frequently PHYSICAL REQUIREMENTS:
• Body Positions: Sitting and standing for prolonged periods.
• Body Movements: Arm and hand dexterity.
• Body Senses: Must have command of close and distant sight, color perception and hearing.
• Strength: Ability to lift and move up to 25-pounds
Vacancy posted 4 days ago
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