Ohio State University Physicians · 16 hours ago
Revenue Capture Analyst
Ohio State University Physicians is committed to providing exceptional patient care while fostering a collaborative work environment. The Revenue Capture Analyst will support the faculty group practice and affiliated provider groups by safeguarding professional revenue charging processes and providing charge auditing support throughout the organization.
Hospital & Health Care
Responsibilities
Assess and Analyze daily charge activity for assigned area
Works with the Revenue Integrity Manager on quality assurance and auditing of charge activity within IHIS
Understands system workflows to identify opportunities and minimize missed charging
ED Reconciliation; analysis of all ED charges to ensure no revenue is missed
Works closely with clinical and revenue cycle build teams and end users to identify optimization opportunities
Anesthesia Reconciliation; analysis of charge sessions for submission to Central Coding Department for revenue capture
Analyzes and problem solves discrepancies and issues, follows through with solutions. Reports findings and outcomes to management
Opens all tickets for Revenue Guardian Edits
Prepares monthly reports for management
Responsible for optimizing revenue guardian edits
Troubleshoots, identifies root cause and documents problems and partners with Revenue Integrity Auditor to determine look-back projects
Compiles information/data on each division for purposes of internal management and division reporting
Ensures that feedback is given to the Revenue Integrity Manager and Coding Managers regarding possible charge issues
Develops and maintains information management systems for error reporting
Understands and complies with billing regulations
Supports- via data extraction- randomized coder audits
Supports revenue cycle projects/ initiatives
This position may be assigned to special projects or accountabilities when other priorities are identified; as time allows
Qualification
Required
Requires a High School diploma or GED
At least five years of claims processing, insurance billing, and/or medical terminology
Experience or training; or equivalent combination of education and experience in a healthcare environment
Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
Must have experience with a computerized billing system
Strong project and process analysis skills; must have competency, tact, diplomacy and communication skills necessary to interact with peers, department personnel, administration and physicians both internal and external to patient accounting on a professional level
Proficient with Microsoft Excel
Preferred
Certification of a CPC, CCS, CCS-P; or equivalent designation
EPIC experience
Benefits
Medical
Dental
Vision
Health reimbursement accounts
Flexible spending accounts
Retirement
Employee assistance program
Paid time off
Holidays
Wellness program
Company
Ohio State University Physicians
Ohio State University Physicians is the medical group managing The Ohio State University Wexner Medical Center, creating a fully integrated, high-performing practice.