Responsible for daily surveillance and problem solving regarding departments that process patient charges. Scale and scope of this job requires hospital based physical presence to visit areas like the OR, GI Lab, ED, Recovery, Cath Lab, Pyxis units (38 housewide) and other areas as necessary. Position is Mission Critical to identify process variances, creating guidelines and policies and procedures to increase accuracy and timeliness of charge capture. Acts as liaison between Central Service, RBC, Accounting, Corporate Supply Chain and other hospitals as needed to create best practices and effective and efficient operational and logistical strategies.
Works closely with and educates revenue-producing hospital departments on charge capture, charge reconciliation, late charges, unbilled claims' issues and resolution
Performs timely reviews of patient accounts and remittances for denials in order to determine root cause and appropriateness, and leads corrective action plans
Assists in the development and implementation of action plans to mitigate risk, pertaining to revenue cycle processes and billing compliance
Develops detailed and summary reports on a regular basis, which are specific to revenue cycle process and key indicators
Facilitates selection of patient encounters for review prior to and after patient billing for purposes of performing audits
Performs various analysis and provides reports to determine trends, compliance billing, impacts to net revenue, and other analytical requests pertaining to revenue cycle
Works in concert with Revenue Management Team members and Revenue Integrity Teams at each facility to ensure timely gathering and reporting of applicable data
Leads and/or assists in the facilitation of hospital-based Revenue Integrity Teams
Works with Medical Records' associates regarding coding issues, Patient Access on registration issues and other relevant information, Patient Financial Services, and other Revenue Cycle Departments
High School diploma or equivalent.
Bachelor's Degree is preferred.
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CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.