16 days old

902105 Coord Audit Rev Cycle

Penn Medicine
Philadelphia, PA 19104
The Coordinator, Audit and Revenue Cycle Integrity is responsible for performing charge capture audits, initiating and leading performance improvement efforts to enhance charge capture, educating clinical departments, and promoting revenue cycle integrity.Summary of Accountabilities: ¢\tEnsure contracts are followed and correct reimbursement is received for Transplants, Implants, Organs, Factor and Carve-Outs. This includes identifying implants that otherwise would not be paid due to (missing) charge postings, HCPCS mis-assignment, non-procurement of manufacturers invoice, mis-registration, wrong diagnosis and procedure codes, etc.¢\tEnhance the ability to increase revenue through targeted claims analysis, identifying systematic errors in registration, coding and prices that affect revenues.¢\tIdentify and communicate missing or incorrect charge submission to appropriate clinical or administrative personnel in Ancillary departments.¢\tReview Third Party Payor Audits and prepare a defense when third parties do not follow industry standards or do not comply with contractual obligations. ¢\tPerforms duties in accordance with Penn Medicine and entity values, policies, and procedures¢\tOther duties as assigned to support the unit, department, entity, and health system organization

Minimum Certifications, Registry and/or Licenses Required: \n•\tCertified Procedural Coder - CPC (AAPC) or Certified Coding Specialist - CCS (AHIMA) required\n\nDegree Requirements and Minimum Experience Required:\n•\tHigh school diploma or GED required\n•\t5+ years of previous work experience in medical billing required\n•\tRequires working knowledge of reimbursement methodology and procedures, CPT and ICD codes, Medicare and Medicaid regulations\n\n Skill Requirements:\n•\tAbility to use Microsoft Office (Excel, Power Point, Word, Access) required\n•\tUnderstanding of medical terminology required\n•\tMust have knowledge of federal, state, and third party payer requirements\n•\tExcellent communication and writing skills, ability to operate with limited direction; ability to multi-task; high level attention to detail\n•\tDetail oriented with strong analytical, organizational, and problem solving skills.\n•\tPossesses motivation and initiative\n•\tExperience using EPIC preferred

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Posted: 2019-10-31 Expires: 2019-11-30

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902105 Coord Audit Rev Cycle

Penn Medicine
Philadelphia, PA 19104

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