Overview
Be inspired .Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all @types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
Comprehensive health benefits that start day 1
Student Loan Repayment Assistance & Reimbursement Programs
Family-focused benefits
Wellness incentives
Ongoing mentorship, development, and leadership programs
And more
Description
OVERVIEW:
Functions as the Finance liaison between Hospital (HB)/ Professional (PB) departments, Information Technology, and Revenue Integrity with the goal of creating efficient charge generation processes that promote timely charge capture and billing required to expedite the reimbursement process.
This position is responsible for providing assistance in maintaining systems, processes and work flows, for the timely and accurate recording of hospital revenue in regards to charge capture and end-user charge capture workflows.
Serves as a facility liaison and a partner to Finance Representatives (Hospital Billing/ Professional Billing), as it relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and maintained.
This position maximizes charge efficiency through:
(1) Monitoring revenue cycle processes and functions
(2) Supporting revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates
(3) Assisting in the design and implementation of charge capture/billing workflow improvements.
Will Coordinate maintenance of the Charge Description Master (CDM) Matrix and the Charge Generation Tracker (CGT) Matrix files that contain the charge generating data for all active charges currently maintained in our CDM of Technical and Professional charge.
Maintains positive working relationships with other hospital departments such as Patient Financial Services, Medical Records, Compliance, and the Medical Staff Office to ensure that the charging and billing responsibilities of the department are performed in an expeditious and thorough manner.
May complete focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes.
Advise service line leaders and their staff on proper usage of charge codes; identify opportunities for capturing additional revenue in accordance with payer guidelines; develop specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections.
Works daily Charge Reconciliation, Charge Review and other DNB/Claims work queues specifically assigned to resolve bill holds for charge related issues assigned to the revenue assurance unit in the charge and DNB work queues.
Assists with report findings from the assigned work queues, erroneous or missing charges.
Serves as internal resource and expert on charge capture issues for service line(s).
Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes, including but not limited to Epic Charge Master Certification.
With Limited Direction, leads task/projects from system design to implementation.
Is able to coordinate complex tasks and assignments while remaining dependable in meeting deadlines.
Works well independently, while also being a collaborative team player.
Coaches and serves a resource for less experienced Finance Revenue Analyst.
Conducts high level decision support/analysis for various projects related to hospital pricing, charge capture, departmental revenue & usage, Medicare billing guidelines, and other projects as assigned.
This position provides specialized technical knowledge, analytical skills, and support to Finance Leadership , Revenue Cycle(Revenue Integrity), and staff in order to successfully meet goals related to the revenue cycle and charge compliance
MINIMUM EXPERIENCE REQUIRED:
Bachelor's degree in related field or healthcare preferred
Six (6) years of previous related healthcare experience, focused in one or more of the following areas: Finance and Accounting, charge integrity; charge capture/reconciliation; healthcare compliance; charge auditing; CDM management; coding and/or hospital billing procedures.
Combination of Education and Experience Maybe considered in lieu of a degree.
QUALIFICATIONS PREFERRED:
Knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, CMS regulations and practices. Experience working with EPIC.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.
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Division Emory Healthcare Inc.
Campus Location Atlanta, GA, 30345
Campus Location US-GA-Atlanta
Department EHI FP&A
Job Type Regular Full-Time
Job Number 149130
Job Category Business Operations
Schedule 8a-5p
Standard Hours 40 Hours
Hourly Minimum USD $31.76/Hr.
Hourly Midpoint USD $42.08/Hr.
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
