Key Facts

Remote From:

Norway , Arizona (USA) , United States

Category: Revenue Manager

Freelance

Mid-level (2-5 years)

English

Hard Skills

Revenue Accounting Medical Record Management Account Analysis Medical Privacy Digital File Management Billing Microsoft Business Intelligence Regulatory Compliance Accounts Receivable Medical Coding +7 more

Other Skills

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Training And Development
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Incident Reporting
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Computer Literacy
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Communication
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Analytical Skills
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Time Management
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Teamwork
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Organizational Skills
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Detail Oriented
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Prioritization
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Relationship Building

Roles & Responsibilities

High School Diploma or GED - Required
Certified Coding Associate or equivalent (CPC/CSS/CCA/RHIT/RHIA/CPMA) - Preferred
3 years' experience in the healthcare industry with an in-depth understanding of clinical areas - Required
Medical coding and documentation review experience - Preferred

Requirements:

Reconcile daily accounts to ensure all charges are captured in the Accounts Receivable system and review charges for accuracy against case type, procedure, and coding rules.
Maintain and update charge screens in the Electronic Medical Record system and manage department charge master files, including semiannual reviews.
Audit medical records against charges and claims to improve charge capture and documentation; research deviations and propose solutions; follow up on late charges and write-offs.
Respond to queries regarding department charges, educate department staff, and support compliance audits; develop and maintain relationships with internal/external stakeholders.

Northern Arizona Healthcare

About Northern Arizona Healthcare

Northern Arizona Healthcare serves more than 700,000 people over 50,000 square miles in six locations, and are ranked in the top 20 percent of small healthcare systems in the nation by Truven Health Analytics. At NAH, we are more than 3,500 colleagues, 1,000 clinical staff and doctors, 850 volunteers, plus 50 medical specialties, 15 ambulances, seven helicopters, two cancer centers and a Level 1 Trauma Center — and we offer a wide range of exciting opportunities for dedicated healthcare professionals. Visit our Careers site to learn more about working at Northern Arizona Healthcare and to view current job listings: http://www.nahealth.com/Careers/

Company type: Large

Founded: 2018

Company size: 1001 - 5000

Website LinkedIn See all jobs →

Job description

Overview:

NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states:

Alabama
Arizona
Florida
Georgia
Idaho
Indiana
Kansas
Michigan
Missouri
North Carolina
Ohio
Oklahoma
Pennsylvania
South Carolina
Tennessee
Texas
Virginia

The Revenue Capture Specialist works within their assigned departments to insure revenue capture and optimization through charge master reviews, audits and reconciliation of charges. This position reports to the direct leadership of Revenue Integrity department.

Responsibilities:

Technical and Critical Thinking Functions

* Reconciles schedule of daily accounts to ensure that all charges are captured in the Accounts Receivable system

* Reviews charges posted to ensure accuracy for type of case, type of procedure, coding/billing rules and edits charges as appropriate.

* Maintains and updates charge screens in the Electronic Medical Record system. Also maintains any other charging methodology by department.

* Follow up on late charges and write-offs by reviewing reports weekly to determine that revenue is appropriate.

* Researches any deviation to expected revenue and proposes solution.

* Maintains department charge master files. Reviews charge master every six months and submits changes as appropriate.

* Works with department manager and Revenue Integrity Manager to ensure proper pricing, description codes and coding for new procedures or changed procedures.

* Audits medical records against charges and claims for improvements in charge capture and documentation.

* Accurate understanding and interpretation of medical records, hospital bills and charge master to ensure high-performing revenue capture.

Communication Function

* Responds to queries regarding department charges, providing responses and explanations and any information needed.

* Identifies areas of improvement, prepares summary of findings to department manager and Revenue Integrity Manager and educates department staff as appropriate per managers' approval.

* Represents department(s) with any compliance audit as needed.

* Develops and maintains effective relationships among internal/external stakeholders, colleagues and staff in order to build trust and facilitate individuals/teams through change initiatives.

Quality and Education Function

* Reviews department medical record documentation on a quarterly basis for improvement opportunities.

* Ensures knowledge and understanding of governmental and accreditation body standards for documentation of department's services and coverage.

* Makes monthly observations and recommendations to prevent future revenue losses.

Compliance/Safety

* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Maintains confidentiality of all department, patient, and billing matters.

* Completes all company mandatory modules and required job specific training in the specified time frame.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.

* Meets industry standard measures of productivity and accuracy.

Qualifications:

High School Diploma or GED- Required

Certified Coding Associate or equivalent (CPC/CSS/CCA/RHIT/RHIA/CPMA) - Preferred

3 years' experience in the healthcare industry with an in-depth understanding of clinical areas - Required
Medical coding and documentation review experience - Preferred
Attention to detail, ability to work independently, ability to efficiently and accurately prioritize varying workload, strong qualitative, analytical and organization skills - Required
Understanding of ancillary department functions, excellent communication skills to interact effectively with public and hospital staff, and positive attitude to work effectively with department staff - Required

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

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