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Revenue Coordinator

Company: The Judge Group
Location: Tustin
Posted on: January 7, 2022

Job Description:

Location: Tustin, CA

Description: Our client is currently seeking a Revenue Coordinator

This job will have the following responsibilities:

Under the general direction of the Manager Revenue Capture, the Revenue Capture Coordinator assumes the responsibility for the accurate and timely input of patient charges into the patient accounting system for multiple hospitals across multiple hospital regions

Essential FunctionsReviews department clinical documentation from multiple sources and enters hospital charges accurately, timely, and in accordance with PSJH Charge Capture policies/guidelines, into Patient Accounting system(s) for multiple hospitals.

Learns and demonstrates proficiency in using PSJH Standard charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.

Learns and demonstrates understanding of CMS Medicare billing rules and regulations related to: Emergency Dept. Level charges, Observation hourly charges, outpatient Intravenous Infusion administration Charges, Emergency Dept. procedure charges, HIPAA, and Fraud and Abuse.

Performs charge reconciliation on his/her accounts; checks charges for accuracy and completeness, corrects own errors.

Follows processes to send appropriate notification to other parties such as Coding Manager, ministry Clinical Dept. Manager, PFS, Case management. For example, notifies the Coding Manager of incomplete medical records or coding questions.

Attends scheduled meetings and trainings and is accountable for what has been discussed in staff meetings.

Assists in orientation and training of new staff.

Identifies events requiring administrative review and forwards these promptly to the appropriate Department Manager/Director

Review own work for accuracy and completeness prior to end of shift.

Perform daily charge reconciliation for the charges they entered on the previous day.

Meet productivity and quality goals/standards.

Qualifications & Requirements:Adhere to health information regulations including HIPAA

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

Perform other duties as assigned.

Treat all information and data within the scope of the position with appropriate confidentiality and security.

Follow all policies developed by the IT Department to support change management, confidentiality, and security.

Maintain organizational, employee, and patient confidentiality at all times

Respect the dignity, confidentiality, and privacy of patients.

Cooperate fully in all risk management activities and investigations.

Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position.

JOB SPECIFIC KNOWLEDGE, SKILLS and ABILITIES(include whether required or preferred)Required - Current knowledge of medical terminology, anatomy and physiology.

Required - Current knowledge of CPT codes.

Required - Current knowledge and proficient in basic Microsoft Office software programs

Required - Ability to communicate effectively in English, both oral & written.

Required - Strong interpersonal, teamwork, and customer service skills.

Required -Ability to maintain minimum standards of productivity and accuracy.

Preferred - Strong analytical skills.

Required - Ability to maintain confidentiality of patient, physician, and ministry information

Required - Ability to type/data key entry

LICENSES and CERTIFICATIONSLicenses, Certifications and Registrations must be unencumbered and valid in the state(s) of hire and wherever care is delivered.

Preferred 1 Upon Hire - Certified Professional Coder, CPC or COC, CIC, CIRCCPreferred 2 Upon Hire - Certified Coding Specialist, CCSPreferred 3 Upon Hire - Registered Health Information Technician, RHIT or RHIA


This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Keywords: The Judge Group, Tustin , Revenue Coordinator, Other , Tustin, California

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