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Summary: General: Under direction of the Manager of Revenue Integrity,ensures proper day to day operations of the revenue integrity and charge capture process. Primary duties include reviewing charge documents, the charge capture process and revenue reconciliation of departments for accuracy and compliance. Specific: Under direct supervision of the Manager of Revenue Integrity, works to support revenue optimization initiatives. Strong computer skills required with a familiarity around billing and coding strongly preferred.
Five to seven years progressive experiences in healthcare environment required.Computer literate with Excel spreadsheet skills.
Secondary Education related to health information management, finance, public health, business administration or a related discipline.
Certification as a CCA, CCS, RHIA or RHIT is highly desired.
Responsibilities: Ensures accurate and timely charge capture methodologies are in place and executed for the assigned work unit, and that they are consistent (in terms of standardization) across pertinent areas/departments as appropriate. Reconciles charges against source documents to ensure that charges have been captured completely and accurately. Monitors compliance with internal standards and procedures. Reports non-compliance issues to proper authority. Identifies, researches, and analyzes billing errors and/or omissions, working with appropriate staff/team member. Ensures that revisions/corrections are sent to the Patient Business Services team and incorporated in processing systems in a timely manner. Ensures data flows appropriately between departments and computer systems. Provides training to staff engaged in billing data entry and related charge capture/reconciliation activities to ensure procedures are understood and that charges are timely, accurate and completed with proper documentation. Works efficiently in all Craneware tools assigned and shows demonstrated knowledge of use. Prepares reports, and provides departmental summary information to the Revenue Cycle team which is responsible for ensuring that all charges on a system-wide basis are being captured, charged and reimbursed appropriately and for overall compliance. Assists interdepartmental teams in troubleshooting accounts that are being held in A/R due to charging/documentation discrepancies. Demonstrates personal capabilities in organizational, time management, prioritizing, careful and logical thinking, effective problem solving and decision making skills. Supports the Revenue Integrity and Patient Business Services functions and initiatives on an as needed basis.
Competencies and skills: Essential: * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Experience Or Completed Courses In Coding
Education: Essential: * Bachelor's Degree in related field
Beebe Healthcare serves the Sussex County community with a medical center located in beautiful, historic Lewes, Delaware, and convenient outpatient locations throughout the county. Founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe, the medical center in Lewes is a 210-licensed-bed, not-for-profit seaside community hospital. Beebe's specialized service lines include cardiac and vascular, surgical services, oncology, women's health, and orthopaedic services. Beebe offers an array of inpatient, outpatient, emergency, and diagnostic services.
Beebe's five satellite campuses offer imaging, physical rehabilitation, and lab services, as well as walk-in care centers. In addition, Beebe offers Wound Healing & Hyperbaric Medicine and Diabetes Management & Medical Nutrition Therapy.
With a mission to serve the community, Beebe also offers many free screenings and outreach programs through its Population Health Department; and advanced medical care for those who are recuperating at home through Beebe Home Care Services.
Beebe is also training the next generation of nurses through the Margaret H. Rollins School of Nursing, located behind the Medical Cente...r in Lewes.
Beebe's Medical Staff has grown tremendously since the early 1990s. Employed physicians through Beebe Medical Group and our affiliated physicians on Beebe's Medical Staff now serve patients from Milford to Millville in specialties including cardiac surgery, dermatology, endocrinology, family practice, gastroenterology, general surgery, internal medicine, pediatric neurology, and surgical oncology.
Beebe is proud to offer quality care, close to home for the residents and visitors of Sussex County.