Revenue Integrity Quality Assurance Charge Consult

Company: Banner Health
Location: Madison
Posted on: May 16, 2022

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, NYPOSITION 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, Madison , Revenue Integrity Quality Assurance Charge Consult, Accounting, Auditing , Madison, Wisconsin