Description
Responsible for performing daily activities that will provide and maintain revenue integrity. The person in this role will work closely with the Revenue Cycle Manager assisting with the management and improvement of revenue cycle coding, billing and related processes. Position requires constant analysis and review of data assuring appropriate charge related activity and maximization of corresponding payments. This position will report to the Controller.
Principal Duties and Responsibilities:
Provide daily maintenance of the charge description master (CDM) file within EPIC
Work with revenue producing departments to ensure the ongoing consistency of the CDM including accurate descriptions, coding, additions, deletions, pricing, RVUs and any other changes
Partner with department leaders to ensure clear accountability for daily charge capture and revenue monitoring, to include consultation on eliminating late/lost charges
Support departments in analyzing and resolving issues related to charge capture
Perform revenue integrity reviews including analysis of reports and working EPIC work queues allowing for the presentation of findings and determination of corrective action
Responsible for charge reconciliation and analysis of financial data as it relates to regulatory compliant charging and billing guidelines
Serve as a resource for organizational and operational matters related to revenue integrity issues as well as revenue integrity education and training programs
Review, develop, implement, evaluate and revise charge guidelines to optimize revenue management
Assist with audits, reporting and licensing as needed
Other projects as assigned and needed
Requirements
Ability to create, analyze, interpret and report on outcomes and variances relating to coding, charge capture and revenue recognition
Must be able to act independently with only general supervision
3 to 5 years of healthcare experience required
Coding credential or equivalent revenue cycle experience required
General knowledge of reimbursement regulations a plus
BS/BA degree or equivalent combination of education and experience preferredÂ