Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement.
Essential Duties:
- Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. .
- Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
- Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.)
- Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
- Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions.
- Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
- Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director.
- Review own work for accuracy and completeness prior to end of shift.
- Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
- 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.
- Adhere to health information regulations including HIPAA.
- Perform other duties as assigned.
Required Qualifications:
- Req High school or equivalent
- Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience.
- Req Must have excellent data entry and quality outcome skills
- Req Proficient in Microsoft Office applications and others as needed
- Req Communicates clearly and concisely, verbally and in writing
- Req Demonstrates knowledge and understanding of organizational policies, procedures and systems
- Req Must have the ability to maintain confidentiality of patient, physician and health system information
- Req Strong interpersonal, teamwork and customer service skills are necessary
- Req Ability to maintain minimum standards of productivity and accuracy
- Req Strong analytical skills
- Req Understanding and/or experience computerized billing systems.
- Req Current knowledge of medical terminology, anatomy, and physiology.
- Req Basic coding knowledge
Preferred Qualifications:
- Pref Related undergraduate study Related college or trade school coursework
- Pref 1 year Experience with advanced education degree/certification
- Pref Knowledge of legal and fiscal requirements in the healthcare industry.
Required Licenses/Certifications:
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
- Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at [email protected]. Inquiries will be treated as confidential to the extent permitted by law.
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