Revenue Capture and Audit Specialist

Department:

10284 Revenue Cycle - Revenue Assurance Technical

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday through Friday day shift, flexibiliy

Education/Experience Required:

• 3-4 Years previous hospital clinical or coding experience. Knowledge of third-party healthcare insurance plans

Knowledge, Skills & Abilities Required:

• Basic computer skills. Excellent communication skills required. Familiarity with hospital applications and basic Microsoft Office and Windows applications
• Certified Coding Associate (CCA) valid and current certification required

Major Responsibilities:

• Provide billing and revenue accuracy by conducting charge capture/bill audits (concurrent, prospective and retrospective).
• Provide orientation, education training and information to any revenue producing department regarding charge capture, policies, procedures, and underlying processes, ensuring charge accuracy and billing compliance.
• Liaison with other hospital departments to solve their internal billing problems on an as-needed basis.

Education/Experience Required:

• 3-4 Years previous hospital clinical or coding experience. –Knowledge of third-party healthcare insurance plans

Knowledge, Skills & Abilities Required:

• Basic computer skills. –Excellent communication skills required. –Familiarity with hospital applications and basic Microsoft Office and Windows applications
• Certified Coding Associate (CCA) valid and current certification required

Physicial Requirements and Working Conditions:

• Ability to coordinate large projects; work under time pressures and meet deadlines. --Ability to lift 20# –Ability to work independently. –Skill understanding and analyzing patient bills and medical records. –Ability to interact with associates at all levels within the organization. Ability to provide superior customer service. –Ability to investigate, analyze and apply contract language, billing guidelines, medical and reimbursement policies. –Strong written, and oral communication skills and be capable of handling confrontational encounters in a positive manner. –Must have proven problem-solving abilities and strong analytical skills –Travel to local meetings at various sites as necessary –Ability to work under time pressure and meet deadlines. –Ability to communicate effectively and work independently. –Effective organizational skills. –Skill in understanding charge capture and analyzing patient bills. –Familiar with reading medical chart.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#LI- REMOTE

#LI- Coding

Pay Range

$26.10 - $39.15

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
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