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Charge Review Specialist

Company: vTech Solution
Location: San Diego
Posted on: May 27, 2023

Job Description:

  • Status:
  • Union Code:
  • Profession:
    Non-Clinical - Health and Information Management
  • Specialty:
    Charge Review Specialist
  • Unit:837 - Revenue Integrity
  • Shift:

    Day 5x8-Hour (08:00 - 17:00)
  • Start Date:
  • Job Duration:
  • # of Positions:
  • Non-Bill. Orientation:
  • Job ID:
  • Account Manager:
    Non Clinical Support - Aya
  • Email:
    • Base Bill Rate:
    • Overtime Multiplier:

      8 regular hours in a day AND 40 regular hours in 1 week : 1.35%
    • Double Time Multiplier:

      12 total hours in a day : 1.7%
    • Charge Nurse:
    • On Call:
    • Call Back:
    • Holiday:

    • Observed Holidays:

      New Year's Day: Falls Within: 7:00 PM day before - 7:00 AM day after

      Labor Day: Falls Within: 7:00 PM day before - 7:00 AM day after

      Independence Day: Falls Within: 7:00 PM day before - 7:00 AM day after

      Memorial Day: Falls Within: 7:00 PM day before - 7:00 AM day after

      Thanksgiving: Falls Within: 7:00 PM day before - 7:00 AM day after

      Christmas: Falls Within: 7:00 PM day before - 7:00 AM day after

      Holiday Comments: None
    • Orientation:

      12 hours Non-Billable
    • Job Location:
      6200 Greenwich Drive
      San Diego, CA 92122
    • Description:
      START DATE: ASAP (Please note that due to average compliance timelines and ETA's for required background checks, we will need 3 weeks after offer to complete pre-employment requirements)
      SHIFT: M-F, 8 hours each day; 8am PST start time; 100% Remote
      Equipment: Contractor is expected to use own equipment and have reliable internet

      The Revenue Integrity Specialist (RIS) is a Revenue Integrity team member responsible for ensuring charges have been captured correctly to facilitate timely billing and appropriate reimbursement. The RIS will effectively resolve charge errors by collaborating with Coding, Patient Financial Services, IS, and other Revenue Cycle Staff stakeholders as necessary. The RIS will focus on timely completion of edits that are holding up billing and follow established policies, timeframes, government regulations, and payer requirements. The RIS will coordinate with Charge Review Specialist (CRS) to determine appropriate solutions to trended charge and claim edit issues, assist in root-cause solutions and advise service line leaders and staff on proper usage of charge codes when necessary.

      Minimum Requirements:

      --- Active certification as a RHIA, RHIT, or CCS, CCS-P from AHIMA or CPC, COC from AAPC.

      --- Seven (7) years of related experience, education/training of directly related healthcare revenue cycle experience, OR a Bachelor's degree in related area plus three (3) years of related experience/training of directly related healthcare revenue cycle experience.

      --- Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
      * Solid claims experience
      * Revenue integrity experience

      --- Hospital Billing & coding experience
      * EPIC proficient
    • COVID-19 Vaccine (Facility Guideline):
      Required - Medical/Religious Exemptions Only
    • Flu Vaccine (Facility Guideline):
      Required - Medical Exemptions Only

Keywords: vTech Solution, San Diego , Charge Review Specialist, Other , San Diego, California

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