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Revenue Integrity Charge Capture Analyst - RN Professional

UC Davis Medical Center
Sacramento, California, United States
10 days ago

Description

UC Davis Medical Center 
Sacramento, CA

Revenue Integrity Charge Capture Analyst - RN Professional
Salary Range:  $6,608.33 - $14,808.33 Monthly
Final Filing Date: 2/24/2022

Responsible for charge capture chart reviews, aiding in maintaining systems, processes, and workflows for the timely and accurate recording of hospital and professional charge capture. The professional registered nurse works with autonomy with a high degree of knowledge of revenue cycle field and is a recognized expert in clinical revenue cycle areas, problem-solving frequently requires analysis of unique issues/problems without precedent and structure.  Reviews charges and medical charts to identify revenue impact and correction.  Works with internal and external departments to formulate strategies, administer policies, processes, and resources, functions with a high degree of autonomy. Involves revenue cycle functions for the healthcare enterprise, including teams who support system billing, reporting, and support. Develops audits and reviews processes to include charge capture, documentation and coding, data entry, billing, and contract management. Provides expert analysis and reporting of charge capture performance; acts as a department liaison for Charge Capture; identifies and tracks issues related to Charge Capture in partnership with other Revenue Integrity Domains to maximize revenue and increase efficiency. This position's primary functions are analysis, system/process development, problem resolution, and workflow oversight. This position requires an expert level of operations and contract knowledge, a high level of independence and creativity, advanced analytical skills and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements, sound judgment, as well as organizational and priority setting abilities.

 Required Qualifications

  • Bachelor's Degree in Health Care Information Technology, Computer Science, or related area, and/or equivalent combination of experience/training.
  • Billing and accounts receivable analysis/management experience.
  • Experience working with revenue cycle information systems or system implementation teams for complex projects, application development, and support.
  • Experience working with healthcare information systems.
  • Technical knowledge of all licensed health care service plans, including State and Federal plans, billing policies and procedures, and the ability to recognize when they are not being followed.
  • Knowledge of hospital billing and reimbursement procedures for Commercial/Managed Care and Government payers and the ability to recognize when policies are not being followed (including experience with contracts pertaining to the division of financial responsibility and evaluating billing and reimbursement terms).
  • Expert knowledge of and demonstrated skill with various spreadsheet and software applications, including Microsoft Excel and Word, Clearinghouse, Contract Management, and Patient Accounting Systems.
  • In-depth knowledge of the healthcare revenue cycle's practices, procedures, concepts, and component operations, including billing, collections, charge capture, contractual terms, third-party reimbursements, and cash management.
  • Knowledge of significant healthcare trends and issues that affect physicians, hospitals, and academic health centers.
  • Knowledge of Health System methods, policies, and procedures.
  • In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle.
  • Knowledge and skill in working with committees and user groups to facilitate group decision-making.
  • Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
  • Advanced communications skills to interpret and convey complex clinical finance information in a clear, concise manner.
  • Advanced skills in report development and various software tools specific to healthcare revenue cycle management.
  • Skills in a common database, spreadsheet, and presentation software.
  • Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with various business and clinical areas.
  • Writing skills to compose correspondence to parties outside the department and sufficiently communicate to other units within the department.
  • Math skills to accurately add, subtract, multiply and divide.
  • Reading skills to understand department policy and to read correspondence from within and outside the business office.
  • Typing skills sufficient to operate computer terminal, prepare correspondence for both within and outside the department.
  • Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
  • Ability to interpret a large volume of data and report it in a concise, meaningful manner.
  • Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
  • Ability to work accurately and quickly under pressure to meet deadlines set by the department, government programs, or private insurance carriers.
  • Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by a heavy workload, frequent interruptions, and multiple, sometimes competing requests.
  • Ability to work cooperatively and constructively with employees and Administration.
  • Ability to develop evaluation criteria for improving departmental activities/programs.
  • Ability to use CPT, HCPCS, Revenue Codes, and ICD-10 in analysis
  • Develops and implements changes to systems, policies, and procedures to maintain currency in government regulations, reimbursement issues, and other matters having a potential financial impact.
  • Demonstrates professionalism, tact, courtesy, and diplomacy in dealing with personnel at all levels outside the health system.

Preferred Qualifications

  • Nursing Degree with five (5) plus years of experience (combination of clinical and non-clinical RN experience acceptable).
  • Academic institution or large integrated health system experience.
  • Experience working with clinical information systems or system implementation teams for complex projects and application development.
  • Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
  • Experience working with interfaced/integrated multi-vendor applications.
  • Knowledge and understanding of University policies and procedures. Extensive knowledge of CMS Federal and State Provider Enrollment processes

 Special Requirements

  • Must be able to work occasional overtime and/or flexible hours as needed.
  • The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees.  To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.
  • This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.

 
To view full job description and submit an on-line application visit UC Davis Career Opportunities at:

http://50.73.55.13/counter.php?id=218896

Job ID #16628

The University of California, Davis is an Affirmative Action/Equal Opportunity Employer



Job Information

  • Job ID: 60955904
  • Location:
    Sacramento, California, United States
  • Position Title: Revenue Integrity Charge Capture Analyst - RN Professional
  • Company Name: UC Davis Medical Center
  • Industry: Healthcare
  • Job Function: Billing/Coding/Chargemaster,
    Nursing,
    Revenue Cycle Management

Please refer to the company's website or job descriptions to learn more about them.

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