Revenue Integrity Charge Assurance Associate
About The Position
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Performs activities which promote timely and accurate revenue recognition, inclusive of charge toggling, manual posting of charge debits/credits, and/or review of documentation to support charge levels. Assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports. Works directly with departments to identify appropriate and available tools/reports used to monitor and reconcile charges, ensuring standard use across the organization. As directed, captures and post charges based upon clinical documentation and/or other inputs from within the electronic health record (EHR). Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms. Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments) related to charge accuracy and/or timing. Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and/or timely engagement to resolve suspended charges.
Nice To Haves
- High School Education/GED or equivalent: Preferred
- Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
Responsibilities
- Supports and assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports.
- As directed, captures and post charges based upon clinical documentation and/or other inputs from within the electronic health record (EHR).
- Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms.
- Balances charge summary to encounter forms keyed before updating charges. Keeps supervisor /manager apprised of matters regarding charge entry. Coordinates and supports charge reconciliation efforts.
- Ensures suspended charges are being resolved appropriately and ensures late charges are being handled properly. Facilitates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
- Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments related to charge accuracy and/or timing. Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and/or timely engagement to resolve suspended charges.
- Performs other job-related duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
