Revenue Integrity Charge Representative

2 weeks ago

Ann Arbor, Michigan, United States Trinity Health Corporation Full time
Employment Type:

Full time

Shift:

Day Shift

Description:

An Opportunity to Join our Remarkable Care Revenue Integrity Account Specialist awaits YOU

St.

Joseph Mercy Health System (SJMHS) is one of the nation's top healthcare service providers, spanning five counties in Southeastern Michigan.

SJMHS represents more than 2,700 physicians and 14,000 nurses and staff, and includes 5 Hospitals, 5 Outpatient Health Centers, 8 Urgent Care Facilities and over 25 Specialty Centers.

Saint Joseph Mercy Health System is part of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, serving communities in 21 states with 86 hospitals, 128 continuing care facilities and home health and hospice programs

:


Responsible for performing charge capture for the areas of Emergency Department, Observation (CDU and House), Labor and Delivery, and Mother/Baby.

Responsible for reviewing patient medical record, including nursing notes, physician orders and progress notes thoroughly to interpret and extract all charges (including the calculation of observation hours) and complete Facility Charge Ticket .


Maintains a minimum productivity standard of 18 cases per hour for Emergency Services charts including chart review, charge extraction, E&M level assignment and charge entry.


Maintain electronic logs to accurately reflect complete list of patients for each area, status of charge capture, deficiencies and other miscellaneous information.

Review and respond to various quality reports, including reports that identify missing charges, duplicate

charges, etc. Performs daily revenue reconciliation and error management 5 activities as assigned.

Communicate effectively with other departments, including leadership for the areas of charge capture, HIM, APC Coordinator, PFS, CDM Coordinator, etc.

Responsd to emails and reqeusts from other departments accurately and timely. Communicate with team mates to ensure that team works effectively. Email daily status updates to manager and team mates. Participates in formulation/change of Charge Capture policies/procedures. Performs other duties as assigned.

Minimum Education, Licensure / Certification and Experience Required.

A. Education

  • Two years college course work in a medically related discipline or equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiarity with medications, abbreviations, emergency procedures, charges for procedures.
  • Associates Degree preferred.
B. Licensure / Certification

  • Certification or licensure in a healthcare discipline (ex
:

Certified Medical Assistant, Licensed Practical Nurse, Paramedic, Respiratory Therapist) preferred.

C Special Skill / Aptitudes

  • Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups.
  • Ability to operate general office equipment (ie. calculator, fax machine, copy machine.
Proficiency with Microsoft Office Suite. Experience with automated systems (Cerner PowerChart, Cerner FirstNet, HealthQuest) preferred.

  • Good interpersonal skills in order to deal effectively and diverse patient and Hospital populations. Ability to recognize and prioritize people in stressful situations.
  • Ability to concentrate and display attention to detail for extended periods of time with good time management skills.
D. Experience

  • Minimum of two years billing/coding experience in a hospital emergency department or hospital based EMS, preferred.
Why St. Joseph Mercy Health System?

  • Competitive Salaries and Shift Differentials
  • Rich Benefits package which include Medical, Dental, Vision, Paid Time off, Retirement Saving Plan with employer contribution option, Tuition Reimbursement, Life Insurance and Short/Long Term Disability.
  • Opportunity for growth and advancement throughout Trinity Health in 21 different states


Visit to learn more about the benefits, culture and career development opportunities available to you at Saint Joseph Mercy Health System.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.

Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.

Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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