Revenue Integrity Charge Rep

Employment Type:

Shift:

Description:

(SUMMARY) Position Highlights:

• Competitive salary

• Benefits – Medical, Dental & Vision, PTO, Free Parking, Metro Access, Tuition Reimbursement, 403(b)

• Quality of Life: Flexible work schedules

• Advancement: Career growth opportunities

• Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD

Responsibilities:

Responsible for maintaining documentation regarding charge capture processes including technology components and personnel interactions to allow for organizational clarity & accountability. Cross trains for our Silver Spring and Germantown area. This is a remote position. Performs regular reviews of process adherence and identifies missing charges. Works with other key stakeholders regarding impacts of system change requests and upgrades on charging processes to ensure continued capture accuracy. Provides oversight of reconciliation processes for all assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Handles charge entry, charge approvals, and/or charge reviews for identified service lines including but not limited to, appending modifiers, and checking clinical documentation.

• Minimum Knowledge, Skills, and Abilities Required:
• Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly preferred. 
• Knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
• Knowledge of Hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors. 
• Ability to organize and to prioritize work in a diverse, fast-paced environment while working on multiple projects simultaneously.
• Knowledge of billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
• Experience with MS Excel, Word and PowerPoint preferred. Epic experience preferred.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
• Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program, including the Code of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behaviors.

Supports the Mission of CHE Trinity Health and Holy Cross Health. 

Required:

High school diploma or equivalent combination of education and experience. RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred. CHC (Healthcare Compliance Certification) preferred.  CHRI certification/membership strongly preferred. 

• Working Conditions:

• This position operates in a typical office environment. The area is well lit, Temperature controlled and free from hazards.

• Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. 

Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.