Revenue Capture Coordinator

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  • Full Time
  • Anywhere

Job Summary:

Under the general direction of the System Charge Master Director, the Revenue Capture Coordinator assumes the responsibility for the accurate and timely input of patient charges into the patient accounting system for multiple SJH hospitals.

Essential Functions

  • Reviews department clinical documentation from multiple sources and enters hospital charges accurately, timely, and in accordance with SJH Charge Capture policies/guidelines, into Patient Accounting system (Meditech) for various hospitals.

  • Learns and demonstrates proficiency in using SJH 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.

Minimum Position Qualifications

  • High school diploma or equivalent.

  • Experience in other clinical or healthcare disciplines such as previous Hospital or Medical office charge entry or medical records experience.

  • Basic Coding knowledge.

Preferred Position Qualifications


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