Revenue Integrity Clinical Reviewer
Company: Queen's Health System
Location: Honolulu
Posted on: May 14, 2022
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Job Description:
Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:--- - Provides
support for timely, accurate and inclusive charge capture coding
and billing functions through the evaluation of payer updates,
performance of record audits, educational presentations to staff
and other related activities.--- - Works collaboratively with
clinical operations staff to identify and remediate issues
regarding the timeliness and/or accuracy of charges.--- - Manages
assigned functions to improve hospital revenue by decreasing
expenses and preventing external charge audits by ensuring accurate
and appropriate charge and revenue capture.II. TYPICAL PHYSICAL
DEMANDS:--- - Essential: finger dexterity, seeing, hearing,
speaking. ---- - Continuous: sitting, static gripping of an object
for prolonged periods. ---- - Frequent: walking. ---- - Occasional:
standing, stooping/bending, climbing stairs, walking on uneven
ground, lifting and carrying usual weight of 1 pound up to 5
pounds, reaching above, at and below shoulder level, frequent
gripping of an object.--- - Operates computer, calculator,
telephone, fax and printer.III. TYPICAL WORKING CONDITIONS:--- -
Not substantially subjected to adverse environmental conditions.IV.
MINIMUM QUALIFICATIONS:A. - EDUCATION/CERTIFICATION AND
LICENSURE:--- - Current Hawaii State license as a Registered
Nurse.--- - Bachelor's degree in Nursing.--- - Certification in
health information management, preferably RHIA or RHIT, preferred.
- ---- - Certified Outpatient Coder (COC), Certified Professional
Coder (CPC), and/or Certified Professional Coder-Payer (CPC-P) from
AAPC, preferred.--- - Certified Coding Associate (CCA), Certified
Coding Specialist (CCS), and/or Certified Coding
Specialist-Physician Based (CCS-P) from AHIMA, preferred.B. -
EXPERIENCE:--- - Two (2) years nursing experience in an acute care
facility working with an electronic hospital information system. -
EPIC preferred.--- - Prior leadership or supervisory experience.---
- Two (2) years experience in charge capture and charge audits,
preferred.--- - Experience to demonstrate: - o - Ability to
investigate, analyze and resolve issues at an organizational level.
- o - Excellent communication, organizational and problem solving
skills.--- - Prior experience using Microsoft Office applications
(i.e. Outlook, Word, Excel).--- - Knowledge of medical coding,
billing claim forms, and federal and state regulations related to
rules/coverage, preferred.--- - Technical knowledge of coding
principles of CPT/HCPCS and modifier selection as well as UB-04
revenue codes, preferred. Equal Employment Opportunity Equal
Opportunity Employer / Disability / Vet#queens11 PandoLogic.
Keywords: Clinical Auditor, Location: Honolulu, HI - 96849
Keywords: Queen's Health System, Honolulu , Revenue Integrity Clinical Reviewer, Healthcare , Honolulu, Hawaii
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