Charge Review Specialist
Company: vTech Solution
Location: San Diego
Posted on: May 27, 2023
Non-Clinical - Health and Information Management
Charge Review Specialist
Day 5x8-Hour (08:00 - 17:00)
Non Clinical Support - Aya
8 regular hours in a day AND 40 regular hours in 1 week : 1.35%
12 total hours in a day : 1.7%
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
12 hours Non-Billable
6200 Greenwich Drive
San Diego, CA 92122
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)
END DATE/CONTRACT LENGTH: 13 weeks
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.
--- 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
Required - Medical/Religious Exemptions Only
Required - Medical Exemptions Only
Keywords: vTech Solution, San Diego , Charge Review Specialist, Other , San Diego, California
here to apply!