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.