Revenue Integrity Quality Assurance Charge Consult
Company: Banner Health
Location: Des Moines
Posted on: May 15, 2022
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Job Description:
Primary City/State:Mesa, ArizonaDepartment Name: Work Shift:
DayJob Category:Revenue CyclePrimary Location Salary
Range:$30.84/hr - $51.40/hr, based on education & experienceIn
accordance with Colorado's EPEWA Equal Pay Transparency Rules.In
2021, Banner Health was awarded the designation of "Top Revenue
Cycle Performance for Large Systems" during the Revenue Cycle
Excellence Awards held by Crowe, a national public accounting,
consulting and finance service company. -The Banner Health Revenue
Cycle team was selected for this distinguished designation out of
1,400 large hospitals across the country. - Join a team recognized
for the innovative and effective strategies that have enabled us to
achieve excellence in revenue cycle performance.This department
will support Revenue Integrity Modernization initiatives by
providing ongoing review of automated charging functions within the
EMR. The tam will assist with the development of documentation
templates and charge order sets to ensure appropriate charges are
captured. Department will work closely with Regulatory to implement
changes required by law and payer guidelines. They will provide
scheduled and ad-hoc reviews to maintain revenue integrity and will
provide education to clinical staff and other departments as
needed.Excellent opportunity exists for a highly motivated and
skilled individual to assist rapidly growing Banner Health's
Revenue Integrity Team. Our Revenue Cycle is implementing exciting
Modernization initiatives and this position will offer on-going
support to assist with efficient, compliant, documentation and
charge practices.Strong knowledge and background in coding
demonstrating progressive experience within a major healthcare
organization.This can be a remote position if you live in the
following states(s) only: AR, AZ, CA, CO, FL, HI, IA, ID, MI, MN,
MO, ND, NE, NV, PA, SC, TX, UT, WA, WI, WY, NY -POSITION
SUMMARYThis position is responsible for coordinating and
facilitating retrospective clinical charge review functions for all
facilities to ensure all appropriate billable charges are captured
as documented within the patient record. Works with clinical
departments to provide education on compliant charges based on
orders and documentation within the medical record. Provides
guidance and expertise in the interpretations of, and adherence to,
the rules and regulations for documentation and charging. -Serves
as a liaison between Finance, Revenue Integrity, Coding,
Compliance, and other departments as indicated.Excellent
communication and interpersonal skills to converse with staff and
department management. -Exhibit strong organizational and time
management skills. -Must be self-motivated and can conduct
meetings, educate others, and defend charge policies and
procedures. -Must be able to work independently and use good
judgment when making decisions and recommendations regarding
charge/documentation practices. -Performs other duties as deemed
necessary by manager.CORE FUNCTIONS1. Interprets internal and
external business challenges and recommends best practices to
improve services, processes or products.2. Solves complex problems.
Takes a broad perspective including coordination with others
outside own work unit, to identify innovative solutions.3.
Anticipates customer needs; assesses requirements and identifies
new solutions. Interacts primarily with department and
cross-department peers, supervisor, customers, peers' managers,
patients and physicians.4. Makes decisions guided by policies in
non- standard situation. Impacts the achievement of operational,
project or service objectives. Monitors and controls costs of own
work and may manage budgets for moderate sized projects or
programs.Performs all functions according to established policies,
procedures, regulatory and accreditation requirements, as well as
applicable professional standards. Provides all customers of Banner
Health with an excellent service experience by consistently
demonstrating our core and leader behaviors each and every
day.NOTE: The core functions are intended to describe the general
content of and requirements of this position and are not intended
to be an exhaustive statement of duties. Specific tasks or
responsibilities will be documented as outlined by the incumbent's
immediate manager. -MINIMUM QUALIFICATIONSRequires a level of
education as normally demonstrated by a bachelor's degree in Health
Information Management, RN and continuing education, or three to
five years related experience. - RHIT, RN, -CPC-H, CCS, or within
one year from date of hire.Minimum three years of experience in a
hospital billing, audit or compliance experience.PREFERRED
QUALIFICATIONSAdditional related education and/or experience
preferred.
Keywords: Banner Health, Des Moines , Revenue Integrity Quality Assurance Charge Consult, Accounting, Auditing , Des Moines, Iowa
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