Job details
Job type full-time
Full job description
Thank you for considering a career at ensemble health partners!
Essential job functions:
Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensivenessReviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational auditsReviews may be conducted with assistance from clinical staff, coordinate with external and internal audit and compliance staffEnsures accurate establishment of clinical charges, descriptions and billing codes in the charge masterEnsures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentationEnsures compliance with pricing policyLeads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price masterLeads other multi-disciplinary work groups in revenue enhancement projects including denial management and apc billing committeesWorking with groups, also develops new areas of review for future revenue enhancementGroups may include representatives from various clinical areas, coding, medical records, billing, compliance and information systemsCollects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goalsWorks with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patientWorks closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achievedProvides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge masterManages communication of routine changes to coding and billing protocols and conventions to affected clinical departmentsPerforms other duties as assigned.
Employment qualifications:
Minimum education required: 4 year/bachelor`s degree
Minimum education preferred: graduate degree/master`s degree
Licensure/certifications preferred: certifications in patient access or patient accountingCoding certification highly preferred
Combination of post-secondary education and experience will be considered in lieu of degree
Minimum years and type of experience: six years of experience in the healthcare industry is requiredCharge master, eap and coding experience are highly preferred.
Other knowledge, skills, and abilities preferred: experience in physician and hospital operations, compliance and provider relations.
Scheduled weekly hours:
40
Work shift:
Days (united states of america)
We’ll also reward your hard work with:
Great health, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/ad&d
Paid time off
Tuition reimbursement
And a lot more
Ensemble health partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the americans with disabilities act and applicable state and local lawIf you require accommodation in the application process, please contact our human resources department at 877-692-7780 or recruitment@ensemblehp.com This department will make sure you get connected to a human resources representative that can assist you.
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