What are the responsibilities and job description for the Revenue Capture Specialist position at Northern Arizona Health?
Job Description
Job Description
Overview
The Revenue Capture Specialist works within their assigned departments to insure revenue capture and optimization through charge master reviews, audits and reconciliation of charges. This position reports to the direct leadership of Revenue Integrity department.
Responsibilities
Technical and Critical Thinking Functions
- Reconciles schedule of daily accounts to ensure that all charges are captured in the Accounts Receivable system
- Reviews charges posted to ensure accuracy for type of case, type of procedure, coding / billing rules and edits charges as appropriate.
- Maintains and updates charge screens in the Electronic Medical Record system. Also maintains any other charging methodology by department.
- Follow up on late charges and write-offs by reviewing reports weekly to determine that revenue is appropriate.
- Researches any deviation to expected revenue and proposes solution.
- Maintains department charge master files. Reviews charge master every six months and submits changes as appropriate.
- Works with department manager and Revenue Integrity Manager to ensure proper pricing, description codes and coding for new procedures or changed procedures.
- Audits medical records against charges and claims for improvements in charge capture and documentation.
- Accurate understanding and interpretation of medical records, hospital bills and charge master to ensure high-performing revenue capture.
Communication Function
Quality and Education Function
Compliance / Safety
Qualifications
Education
High School Diploma or GED- Required
Certification & Licensures
Certified Coding Associate or equivalent (CPC / CSS / CCA / RHIT / RHIA / CPMA) - Preferred
Experience
3 years' experience in the healthcare industry with an in-depth understanding of clinical areas - Required
Medical coding and documentation review experience - Preferred
Attention to detail, ability to work independently, ability to efficiently and accurately prioritize varying workload, strong qualitative, analytical and organization skills - Required
Understanding of ancillary department functions, excellent communication skills to interact effectively with public and hospital staff, and positive attitude to work effectively with department staff - Required
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
