Providence Revenue Capture Representative *Telecommute* in California
Providence St. Joseph Health is calling a Revenue Capture Representative to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.
Under the general direction of the Manager Revenue Capture, the Revenue Capture Coordinator assumes the responsibility for the accurate and timely input of patient charges into the patient accounting system for multiple PSJH hospitals across multiple hospital regions.
Reviews department clinical documentation from multiple sources and enters hospital charges accurately, timely, and in accordance with PSJH Charge Capture policies/guidelines, into Patient Accounting system(s) for multiple hospitals.
Learns and demonstrates proficiency in using PSJH Standard charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
Learns and demonstrates understanding of CMS Medicare billing rules and regulations related to: Emergency Dept. Level charges, Observation hourly charges, outpatient Intravenous Infusion administration Charges, Emergency Dept. procedure charges, HIPAA, and Fraud and Abuse.
Performs charge reconciliation on his/her accounts; checks charges for accuracy and completeness, corrects own errors.
Follows processes to send appropriate notification to other parties such as Coding Manager, ministry Clinical Dept. Manager, PFS, Case management. For example, notifies the Coding Manager of incomplete medical records or coding questions.
Attends scheduled meetings and trainings and is accountable for what has been discussed in staff meetings.
Assists in orientation and training of new staff.
Identifies events requiring administrative review and forwards these promptly to the appropriate Department Manager/Director
Review own work for accuracy and completeness prior to end of shift.
Perform daily charge reconciliation for the charges they entered on the previous day.
Meet productivity and quality goals/standards.
- High school diploma or equivalent required
2 years experience in clinical or healthcare disciplines such as previous Hospital or Medical office charge entry or medical records experience
Preferred upon hire: Certified Professional Coder, CPC or COC, CIC, CIRCC -AAPC
Preferred upon hire: Certified Coding Specialist (CCS) - American Health Information Management Association
Preferred upon hire: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) - American Health Information Management Association
Preferred upon hire: Licensed Vocational Nurse (LVN)
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.
We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.
We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.
Requsition ID: 138372
Company: Providence Jobs
Job Category: Revenue Cycle Operations
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 4001 SS RC CHARGE CAPTURE
Address: CA Irvine 3345 Michelson Dr
Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.