Manager, Clinical Revenue Integrity
USC Race and Equity Center
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $110,240 - $181,896 per year
About the role
- Manage the charge capture team and support unit and the area specific charge capture of clinical services and procedures
- Communicate missing or incomplete clinical documentation and charge entry errors for clinical department process improvement
- Deliver direction to the documentation of all policies and procedures regarding charge capture and CDM Maintenance
- Conduct meetings to evaluate department charge processes to improve charge capture and coding compliance
- Coordinate with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge
- Provide data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the improvement of charge capture
- Respond to inquiries regarding Chargemaster and charge entry issues and supervise meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement
- Work closely with revenue auditors and provide leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner
- Aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance
Requirements
- Bachelor’s Degree In healthcare related field
- 5 years Experience in medical coding/ Chargemaster experience in a healthcare environment required
- Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology
- Knowledge of other government and third party payer reimbursement methodology required
- Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plans
- Excellent analytical, problem-solving, planning and evaluation skills
- Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills
Benefits
- Reasonable accommodations to applicants and employees with disabilities
- Smoke-free environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingChargemasterinpatient billingoutpatient billingCMS Medicare reimbursement methodologygovernment payer reimbursement methodologycharge capturecoding compliancedata analysisprocess improvement
Soft Skills
analytical skillsproblem-solvingplanningevaluation skillscommunication skillsleadershipteam coordinationtrainingresource optimizationself-motivated
Certifications
Bachelor’s Degree in healthcare related field