Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC•Los Angeles, CA

12d•$29 - $45

About The Position

Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement. Essential Duties: Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. . Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code. Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.) Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors. Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions. Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings. Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director. Review own work for accuracy and completeness prior to end of shift. Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate. Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity. Adhere to health information regulations including HIPAA. Perform other duties as assigned.

Requirements

High school or equivalent
2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience.
Must have excellent data entry and quality outcome skills
Proficient in Microsoft Office applications and others as needed
Communicates clearly and concisely, verbally and in writing
Demonstrates knowledge and understanding of organizational policies, procedures and systems
Must have the ability to maintain confidentiality of patient, physician and health system information
Strong interpersonal, teamwork and customer service skills are necessary
Ability to maintain minimum standards of productivity and accuracy
Strong analytical skills
Understanding and/or experience computerized billing systems.
Current knowledge of medical terminology, anatomy, and physiology.
Basic coding knowledge
Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

Related undergraduate study
Related college or trade school coursework
1 year Experience with advanced education degree/certification
Knowledge of legal and fiscal requirements in the healthcare industry.
Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification

Responsibilities

Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR.
Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.)
Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions.
Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director.
Review own work for accuracy and completeness prior to end of shift.
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
Adhere to health information regulations including HIPAA.
Perform other duties as assigned.