AMVETS Jobs

Job ID85949

LocationAurora, Colorado

Full/Part TimeFull-Time

Regular/TemporaryRegular

Why Work at Children's....

Here, it's different. Come join us. Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day. We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report. As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties. Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat. That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through o A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

Job Overview

The Revenue Integrity (RI) Charge Capture Auditor promotes the accuracy of charging practices across the organization. This position serves as a liaison between clinical areas and revenue cycle teams to translate billing needs in order to assist clinical leadership in improving charge capture for their service lines.

Additional Information

Department Name: Revenue Integrity. Job Status: Full time,40 hours per week. Shift: Monday to Friday. 8am to 5pm, Hybrid.

Qualifications

Education: Bachelor's degree in related field. Experience:Minimum 3 years of experience in health care. Equivalency:Minimum of 4 years of revenue integrity or related experience in lieu of Bachelor's degree.

Responsibilities

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Identifies and performs root-cause analysis for charging issues including National Correct Coding Initiative (NCCI) edits, modifiers, Current Procedural Terminology (CPT) and Revenue Code assignment. Develops, implements, and maintains policies and procedures following Centers for Medicare & Medicaid Service (CMS) and American Medical Association (AMA) guidelines to ensure proper charge capture of billable services. Serve as a liaison between clinical departments and revenue cycle departments and as a hospital resource for compliant charging practices. Is a resource for clinical team members and leaders on charging workflows and charge code questions. Assists in evaluation of new clinical services for proper charging and reimbursement considerations. Partners with Clinical Application Services (CAS) teams to ensure technical implementations and system changes maintain charging compliance and optimize revenue opportunities. Performs ongoing clinical service line reviews of medical records and associated billing to identify potential charging ina curacies. Develop action plans for corrections, quantifies revenue impact, and partners with clinical areas until resolution. Researches, analyzes and supports charge issues raised by third party payers and / or audit companies in coordination with other resources. Partners with departments to implement charge capture improvements including changes to systems, operational procedures, or charging education to mitigate revenue leakage. Analyzes and identifies deficiencies and inaccuracies in recording charges for services rendered. Designs recommendations for improvements to improve financial outcomes. Conducts chart audits to verify compliant charging in accordance with policies and regulations. Compiles findings and assesses revenue... For full info follow application link.

Equal Employment Opportunity