Details
Posted: 27-May-22
Location: Maitland, Florida
Salary: Open
Categories:
Operations
Internal Number: 22013271
Description YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift: Day
The community you’ll be caring for:
- The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources.
- The Trickle Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel.
- The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.
The role you’ll contribute:
The Revenue Integrity Charge Auditor is responsible for reviewing accounts for accuracy via the use of the charge capture audit system in conjunction with Local, Federal and State compliance guidelines in addition to managed care reimbursement practices in order to improve the accuracy and efficiency of the charge capture phase of the revenue cycle. Uses clinical knowledge and billing experience to compare the medical records documentation to patient account charge detail pertaining to individual items billed. Assists the Revenue Integrity Clinical Liaisons in identifying and communicating missing or misdirected charges to individual clinical/ancillary departments.
The value you’ll bring to the team:
- Works with Clinical Liaisons to routinely identify charging opportunities, proactively identifying revenue opportunity and suggests improvements with revenue cycle leadership to prioritize audits as it relates to charge capture and/or revenue flow.
- Audits and enters charges at or above minimum accuracy and productivity rate set by department leadership (accuracy measured by monthly quality reviews).
- Inputs charges correctly into charge capture audit system, working with Clinical Liaison, HIM and PFS to assure complete and accurate billing.
- Monitors reports of accounts via charge capture audit system on a routine basis, keeping number of accounts on this list below goals set by department leadership.
- Works effectively with revenue cycle department to thoroughly understand how clinical changes impact changes in net revenue.
- Performs wide range of duties in support of total department efficiency including but not limited to the involvement in aspects of developing the annual pricing update; creating, updating and maintaining the Chargemaster with minimal errors as established by Revenue Integrity Leadership.
- Works as part of a team to cover peak periods and assists with workloads as opportunities present.
- Remains current with all assigned reading and department education plans.
QualificationsThe expertise and experiences you'll need to succeed:
Required:
- Minimum 3 years of experience in healthcare or related field, with specific emphasis on billing, charging or coding
Preferred:
- Minimum 3 years of hospital clinical or nursing experience
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
- Registered Nurse (RN) currently registered with the Florida State Board of Nursing
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.