Description
Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement.
Essential Duties:
- Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. .
- Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
- Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.)
- Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
- Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions.
- Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
- Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director.
- Review own work for accuracy and completeness prior to end of shift.
- Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
- Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
- Adhere to health information regulations including HIPAA.
- Perform other duties as assigned.
Required Qualifications:
- Req High school or equivalent
- Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience.
- Req Must have excellent data entry and quality outcome skills
- Req Proficient in Microsoft Office applications and others as needed
- Req Communicates clearly and concisely, verbally and in writing
- Req Demonstrates knowledge and understanding of organizational policies, procedures and systems
- Req Must have the ability to maintain confidentiality of patient, physician and health system information
- Req Strong interpersonal, teamwork and customer service skills are necessary
- Req Ability to maintain minimum standards of productivity and accuracy
- Req Strong analytical skills
- Req Understanding and/or experience computerized billing systems.
- Req Current knowledge of medical terminology, anatomy, and physiology.
- Req Basic coding knowledge
Preferred Qualifications:
- Pref Related undergraduate study Related college or trade school coursework
- Pref 1 year Experience with advanced education degree/certification
- Pref Knowledge of legal and fiscal requirements in the healthcare industry.
- Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification
Required Licenses/Certifications:
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $29.00 - $45.20. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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