The business problem is to identify and improve charge capture opportunities within the organization to support annual Revenue Cycle initiatives and priorities. The role aims to ensure the charge capture process yields expected outcomes and to facilitate the implementation of standardized processes for efficient and effective charge capture.
Requirements
- Epic CDM Proficiency certification must be obtained within 12 months of hire and maintain Epic new version training requirements on an ongoing basis.
- Proficient in preparing and analyzing financial data and implementing changes.
- Effective computer skills that include the following applications: MS Excel, MS Word, and PowerPoint.
Responsibilities
- Updates the charge master files, including HSCRC price changes, as directed.
- Researches various HSCRC and/or CMS inquiries as requested.
- Completes tasks associated with HSCRC RVU taskforce conversion meetings, such as meeting notes and populating templates as instructed.
- Attends cross-functional (e.g. with clinical departments, IS&T, or clinical informatics) meetings with more senior analysts to understand required changes to ancillary and application charge capture tool(s).
- Through detailed directions and documented processes, updates tools and carries out routine integrity checks.
- Review work queue lists daily and contact appropriate owners to ensure held charges are being worked timely.
- Assists with the ensuring resolution of accounts in work queues, erroneous or missing charges, and researches coding, documentation, and coding guidance.
Other
- Under direct supervision, identifies charge capture improvement opportunities and works collaboratively with Revenue Integrity team members to support annual Revenue Cycle initiatives and priorities.
- Recognized as a developing HSCRC and clinical service line subject matter expert.
- Works with clinical department managers and staff to ensure process improvement changes are understood and to ensure the charge capture process is yielding expected outcomes.
- Serves as a conduit between clinical departments and Revenue Integrity.
- Bachelor’s Degree in Healthcare, Finance, Accounting, or equivalent related subject is required.
- Effective time management skills.
- Effective interpersonal skills to build collaborative relationships with team members and customers.
