Advocate Health · 6 hours ago

Revenue Assurance Capture Specialist

Oak Brook, IL

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Provide comprehensive, consistent and accurate charge entry for assigned hospital departments.

Identify, investigate, communicate and mitigate inconsistent trends in clinical documentation or charging with specific departments. Escalate issues regarding revenue capture or documentation when appropriate.

Perform analysis of charges that correlate with documented medical/nursing interventions and resolve identified charging and billing issues.

Collects, reports, and maintains appropriate data in relation to charge capture and/or quality. Collaborates with teammates to achieve shared goals and metrics.

Perform periodic retrospective charge capture reviews of assigned departments to identify charging/billing issues.

Verify and respond to questions from various departments, patients or leadership regarding charging accuracy.

Provide orientation, education training and information to newly hired teammates regarding charge capture, policies, procedures, and underlying processes.

Conduct quality audits of accounts processed by the team and report findings with department Quality and Education Coordinator.

Review, identify, and process late, missing or lost charges for various hospital departments on an as needed basis.

Qualification

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Certified Coding Associate (CCA)Hospital CodingThird-party healthcare insuranceGovernment regulationsBillingClaimsMedical records reviewCoding rulesMicrosoft OfficeWindows applicationsCollaborate with peers