Revenue Capture and Audit Specialist

Major Responsibilities:

• Provide billing and revenue accuracy by conducting charge capture/bill audits (concurrent, prospective and retrospective). Be improvement process solution with the department management
• Provide orientation, education training and information to any revenue producing department regarding charge capture, policies, procedures, and underlying processes, ensuring charge accuracy and billing compliance.
• Liaison with other hospital departments to solve their internal billing problems on an as-needed basis.

Education/Experience Required:

• -3-4 Years previous hospital clinical or coding experience. -Knowledge of third-party healthcare insurance plans

Knowledge, Skills & Abilities Required:

• Basic computer skills. -Excellent communication skills required. -Familiarity with hospital applications and basic Microsoft Office and Windows applications
• -Certified Coding Associate (CCA) valid and current certification required

Physicial Requirements and Working Conditions:

• -Ability to coordinate large projects; work under time pressures and meet deadlines. --Ability to lift 20# -Ability to work independently. -Skill understanding and analyzing patient bills and medical records. -Ability to interact with associates at all levels within the organization. Ability to provide superior customer service. -Ability to investigate, analyze and apply contract language, billing guidelines, medical and reimbursement policies. -Strong written, and oral communication skills and be capable of handling confrontational encounters in a positive manner. -Must have proven problem-solving abilities and strong analytical skills -Travel to local meetings at various sites as necessary -Ability to work under time pressure and meet deadlines. -Ability to communicate effectively and work independently. -Effective organizational skills. -Skill in understanding charge capture and analyzing patient bills. -Familiar with reading medical chart.

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This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.