What are the responsibilities and job description for the Revenue Integrity Charge Assurance Associate position at Adventist Health?
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Performs activities which promote timely and accurate revenue recognition, inclusive of charge toggling, manual posting of charge debits/credits, and/or review of documentation to support charge levels. Assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports. Works directly with departments to identify appropriate and available tools/reports used to monitor and reconcile charges, ensuring standard use across the organization. As directed, captures and post charges based upon clinical documentation and/or other inputs from within the electronic health record (EHR). Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms. Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments) related to charge accuracy and/or timing. Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and/or timely engagement to resolve suspended charges.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Essential Functions:
- Supports and assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports. As directed, captures and post charges based upon clinical documentation and/or other inputs from within the electronic health record (EHR).
- Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms.
- Balances charge summary to encounter forms keyed before updating charges. Keeps supervisor /manager apprised of matters regarding charge entry. Coordinates and supports charge reconciliation efforts.
- Ensures suspended charges are being resolved appropriately and ensures late charges are being handled properly. Facilitates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
- Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments related to charge accuracy and/or timing. Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and/or timely engagement to resolve suspended charges.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
