Emory Healthcare/Emory University Finance Revenue Analyst in Atlanta, Georgia
Functions as the Finance liaison between Hospital (HB)/ Professional (PB) departments, Information Technology, and Revenue Integrity with the goal of creating efficient charge generation processes that promote timely charge capture and billing required to expedite the reimbursement process.
This position is responsible for providing assistance in maintaining systems, processes and work flows, for the timely and accurate recording of hospital revenue in regards to charge capture and end-user charge capture workflows.
Serves as a facility liaison and a partner to Finance Representatives (Hospital Billing/ Professional Billing), as it relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and maintained.
This position maximizes charge efficiency through (1) Monitoring revenue cycle processes and functions, (2) Supporting revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates, (3) Assisting in the design and implementation of charge capture/billing workflow improvements.
Will support maintenance of the Charge Description Master (CDM) Matrix and the Charge Generation Tracker (CGT) Matrix files that contain the charge generating data for all active charges currently maintained in our CDM of Technical and Professional charge.
Maintains positive working relationships with other hospital departments such as Patient Financial Services, Medical Records, Compliance, and the Medical Staff Office to ensure that the charging and billing responsibilities of the department are performed in an expeditious and thorough manner.
May complete focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes.
Advise service line leaders and their staff on proper usage of charge codes; identify opportunities for capturing additional revenue in accordance with payer guidelines; develop specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Works daily Charge Reconciliation, Charge Review and other DNB/Claims work queues specifically assigned to resolve bill holds for charge related issues assigned to the revenue assurance unit in the charge and DNB work queues.
Assists with report findings from the assigned work queues, erroneous or missing charges. Serves as internal resource and expert on charge capture issues for service line(s).
Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes, Including but not limited to Epic Charge Master Certification.
Conducts high level decision support/analysis for various projects related to hospital pricing, charge capture, departmental revenue & usage, Medicare billing guidelines, and other projects as assigned.
This position provides specialized technical knowledge, analytical skills, and support to Finance Leadership , Revenue Cycle(Revenue Integrity), and staff in order to successfully meet goals related to the revenue cycle and charge compliance.
MINIMUM EXPERIENCE REQUIRED:
Bachelors degree in related field or healthcare preferred Three (3) years of previous related healthcare experience, focused in one or more of the following areas: Finance and Accounting, charge integrity; charge capture/reconciliation; healthcare compliance; charge auditing; CDM management; coding and/or hospital billing procedures. Combination of Education and Experience Maybe considered in lieu of a degree QUALIFICATIONS PREFERRED Knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, CMS regulations and practices Experience working with EPIC
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Division Emory Healthcare Inc.
Campus Location Atlanta, GA, 30308
Campus Location US-GA-Atlanta
Department EHI Hospitals Finance
Job Type Regular Full-Time
Job Number 95670
Job Category Business Operations
Standard Hours 40 Hours
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
Emory Healthcare/Emory University
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