Coord Charge and Audit Process- Revenue Integrity at Huntsville Hospital Health System

Madison, Alabama, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Apr, 26

Salary

0.0

Posted On

28 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Charge Services Maintenance, Cerner Application, CDM Maintenance, CPT/HCPCS Codes, Revenue Codes, Tiering Logic, Department Charge Worksheets (DCW), Medicare Recovery Audit, Targeted Probe and Educate (TPE), Appeals and Denials Management, Clinical Processes Understanding, Financial Processes Understanding, Medical Terminology, Healthcare Billing Guidelines, Audit Process Knowledge, Microsoft Word Proficiency, Microsoft Excel Proficiency

Industry

Hospitals and Health Care

Description

Overview Responsible for completing and maintaining charge services within the Cerner application to include, but not limited to, maintenance of CDM, CPT/HCPCS codes, revenue codes, and tiering logic. Coordinates with hospital departments to complete DCW (Department Charge Worksheets) for Cerner. Responsible for all activity related to Medicare’s Recovery Audit and Targeted Probe and Educate (TPE), as well as all other appeals and denials associated with Revenue Integrity. Qualifications Education: High school diploma or GED required Bachelor’s degree in Business Administration, Health Administration, or a clinical discipline preferred Prior billing or coding experience will be considered in lieu of bachelor’s degree Experience: Minimum of 2 years’ experience in Patient Accounting, Case Management, Internal Audit, or Coding. Additional Skill/Abilities: Understands clinical and financial processes within a hospital-based healthcare system Clear and effective communication skills with strong professional interpersonal skills. Knowledgeable in medical terminology, coding, healthcare billing guidelines, and audit process Proficiency in Word and Excel Able to work in fast paced environment, requiring prioritizing and changing tasks frequently About Us Highlights of our hospitals Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities. Huntsville Hospital Benefits: We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more! Learn more about Huntsville Hospital Health System: Careers: https://careers.hhsys.org/careers-home Benefits: https://careers.hhsys.org/us/en/benefits Education & Professional Development: https://www.huntsvillehospital.org/education Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al

Responsibilities

This role is responsible for completing and maintaining charge services within the Cerner application, which includes managing CDM, CPT/HCPCS codes, revenue codes, and tiering logic. Additionally, the coordinator manages all activities related to Medicare's Recovery Audit and TPE, along with handling other appeals and denials associated with Revenue Integrity.