Charge Review Specialist - Revenue Integrity - Full Time jobs in United States
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LCMC Health · 2 weeks ago

Charge Review Specialist - Revenue Integrity - Full Time

LCMC Health is a community-focused healthcare organization dedicated to providing exceptional care. The Charge Review Specialist role involves reviewing patient charges for accuracy, resolving discrepancies, and collaborating with various departments to ensure revenue integrity within the healthcare system.

Health CareHealth DiagnosticsHospitalMedical

Responsibilities

Review patient charges to validate they are accurately entered and supported by clinical documentation
Ensure charges match the procedures and services provided, using appropriate charge capture standards
Assist in daily resolution of revenue integrity edits that prevent accounts from billing, by reviewing the medical record and applicable documentation
Expected to identify and investigate discrepancies or missing charges in patient accounts with the intent to resolve. Report issues and participate in the resolution of any potential or actual revenue/charge related issues
Coordinate Charge Description Master (CDM) error findings with CDM team
Monitors EPIC Revenue Integrity Dashboard(s) and Ri assigned work queues to assist in completion and timeliness of completion meeting Revenue Integrity Department standards
Responds to departmental charging inquiries in a timely manner and document questions received to create repository
Provide support for assigned cost centers within service lines in collaboration with the charge integrity teammates
Works with Coding and other clinical departments to identify and resolve errors based on ICD/CPT Coding Guidelines and National Correct Coding Initiative edits
Contributes and supports quarterly improvement initiatives as directed by revenue integrity leadership
Serve as primary service line representative for all charge related inquiries and issues and proper usage of charge codes
Offers feedback on issues identified, and potential solutions, in the spirit of process improvement
Monitor and report charge capture trends and provide input on improvements that prevent revenue leakage
Perform quality work within deadlines and/or Key Performance Indicators (KPIs) with or without direct supervision
Interacts professionally with coworkers and customers
Work effectively as a team contributor on all assignments
Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations
Delivers positive patient experience, where applicable
Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes
Performs other miscellaneous duties as assigned

Qualification

Revenue cycle experienceEPIC HB/PB experienceICD/CPT Coding GuidelinesAHIMA certificationAAPC certificationAnalytical skillsComputer skillsMS Office proficiencyInterpersonal skillsOrganizational skillsCritical thinking

Required

2 years' experience in a hospital setting, revenue cycle, healthcare industry or coding
High school diploma or GED with equivalent combination of certification and experience is required
Applicable professional certification through AHIMA (CCA) or AAPC (CPC‑A, COC-A) are highly desirable. Must obtain professional credential within 6 months of employment or Epic Certified
Interpersonal and communication skills, analytic and organizational skills, critical-thinking and the ability to meet deadlines
Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet

Preferred

EPIC HB/PB experience
Associate's degree in healthcare administration, Health Information or related field

Company

LCMC Health

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LCMC Health is a provider of hospitals, medical centers & health centers for healthcare, medical diagnostics and treatment.

Funding

Current Stage
Late Stage

Leadership Team

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Greg Feirn
CEO
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Company data provided by crunchbase