Coordinator, Revenue Integrity
Company: Queen's Health System
Location: Honolulu
Posted on: May 11, 2022
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Job Description:
About Us To fulfill the intent of Queen Emma and King Kamehameha
IV to provide in perpetuity quality health care services to improve
the well-being of Native Hawaiians and all the people of Hawaii.
Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:--- - Responsible
for auditing the charge capture process to ensure that all valid
charges are captured in the billing process in a timely manner.
---- - Identifies charge compliance issues and root causes of
noncompliance. - - Ensures correction of such issues and develops
changes to workflow processes to ensure that such issues are
prevented in the future. ---- - Monitors functions and activities
to safeguard The Queen's Health Systems (QHS) against exposure to
penalties and fines by ensuring healthcare services are billed
accurately and properly at all times. ---- - Provides education and
training to departmental staff to ensure understanding and
compliance to correct charging procedures.II. TYPICAL PHYSICAL
DEMANDS:--- - Essential: Sitting, finger dexterity, seeing,
hearing, speaking, repetitive arm/hand motions, static gripping of
an object for prolonged periods, frequent gripping of an object.---
- Occasional: Standing, twisting body, lifting and carrying usual
weights of 15 to 30 pounds, reaching above, at, and below shoulder
level.--- - Operates personal 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:--- -
Bachelor's degree in Business Administration, Finance or Health
Care Administration or related field; or four (4) years progressive
experience in Revenue Cycle or Finance may be substituted for the
educational requirement.--- - Master's degree in a related field
preferred.B. - EXPERIENCE:--- - In addition to the education
requirement, three (3) years experience in two (2) or more areas of
the revenue cycle process to include, but not be limited to patient
access, scheduling, charge capture, CDM maintenance, claims
submission and follow-up, payment posting, collections, claims
adjudication, third party payer contracts, government reimbursement
and policies, compliance, net revenue and/or profitability
analyses, preferably in an acute care facility.--- - Experience in
a lead or supervisory role. - ---- - Experience to demonstrate the
following: - o - Working knowledge of CPT/HCPCS and revenue code
assignment and ICD-9 coding. - o - Working knowledge of charge
master principles and the relationship to coding, billing and
compliance in a hospital setting. - o - Working knowledge of health
care delivery systems, including contracting and financial
analysis. - o - Knowledge of reimbursement regulations, including
Medicare/Medicaid program requirements, and medical terminology. -
o - Ability to develop and implement education/training programs
and activities. - o - Proficiency in computer applications such as
Word and Excel, and computer-based hospital billing/records
applications with preference given to experience with Epic systems.
- o - Knowledge of Crystal Report Writer. Equal Employment
Opportunity Equal Opportunity Employer / Disability / Vet#queens11
PandoLogic. , Location: Honolulu, HI - 96849
Keywords: Queen's Health System, Honolulu , Coordinator, Revenue Integrity, Other , Honolulu, Hawaii
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