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Job description
Responsibilities
I. JOB SUMMARY:
• Monitors charge capture and charge reconciliation outcomes.
• Reviews, develops, implements, evaluates, and revises charge guidelines to optimize revenue management; effectively implements recommendations and monitors results.
• Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future.
• Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS.
• Prepares and presents financial reports for executive management review.
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
• Seeing. Hearing. Speaking. Finger dexterity.
B. MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: N/A
• Frequent: N/A
• Constant: N/A
C. NON-MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: Stand. Walk. Stoop/Bend. Reach: shoulder level.
• Frequent: N/A
• Constant: Sit.
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
• Bachelor's degree required, preferably in business administration, finance or health care administration; or four (4) years of experience in healthcare finance or related field such as business services or revenue integrity may be substituted for the education requirement.
B. CERTIFICATION AND LICENSURE:
• No certification/license requirement.
C. EXPERIENCE:
• In addition to the education requirement, three (3) years of experience in revenue integrity, coding, charge capture or billing compliance, preferably in a comparable organization.
• Experience to demonstrate the following:
o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting.
o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement.
o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel.
• Prior experience with Epic systems preferred.
Equal Employment Opportunity
Equal Opportunity Employer / Disability / Vet
Worksite address
aiea, HI, 96701, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.