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Revenue Integrity Coord
- Community Health Systems (Victoria, TX)
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Job Summary
Revenue Cycle Coordinator is responsible for the effective and efficient operations of all sub-departments included in Patient Accounting, charge capture/ Revenue Cycle. Ensures that account charges are captured, physician and nursing documentation support charges and works with coding to ensure all charges are entered correctly so accounts can be billed in a timely manner. Ensures timely and accurate charge capture activities and develops policies and procedures and to support accurate reimbursement while maintaining patient and physician satisfaction. Ensures accurate coding and billing practices across clinical departments. Collaborate with clinical and administrative teams to streamline workflows for revenue optimization. Will be involved in investigating and resolving rejected or denied insurance claims (initial and final denials). Able to identify and resolve issues related to revenue collection and claims.
Essential Functions
+ Manages on-going charge capture improvement initiatives.
+ Ensures charges are captured for all ED accounts and other accounts assigned
+ Ensures documentation is noted to support charges
+ Stays updated on changes in coding guidelines (e.g. ICD-10, CPT, HCPCS) and reimbursement policies.
+ Identifies and tracks trends
+ Charge entry daily
+ Ensures charges are entered to ensure accurate and timely filing billing
Qualifications
+ H.S. Diploma or GED required
+ Coding and billing certificate
+ 3-5 years experience of billing and coding
Knowledge, Skills and Abilities
+ Knowledge of billing and coding regulations
+ Insurance Verification knowledge
+ Proficient in Microsoft and Google Applications.
+ Detail-oriented.
Licenses and Certifications
+ Billing and Coding Certificate - upon hire required
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
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