Albany Med
Charge Capture and Reconciliation Analyst
1275 Broadway Albany, NY 12204
Sponsorship not specified$65k-$97kDetected 16 days ago
Data AnalysisComplianceAccountingExcelHIPAAEpicLeadershipCommunicationPublic SpeakingMicrosoft OfficeInternal Audit
About the role
- This position is responsible for managing the revenue cycle reporting, data analysis, database development, information systems implementation and auditing.
- Duties include evaluating and presenting revenue cycle information, audit finding results and statistical trends.
- Albany Medical Center is an equal opportunity employer.
Responsibilities
- Collaborates with billing and internal stakeholders on initiatives to resolve issues, decrease billing delays and accelerate revenue.
- Works with hospital departments to implement internal controls when errors are identified.
- Establishes the process to collect, review and analyze revenue cycle metrics data, presents trends, and results to fiscal leadership, and maintains the monthly revenue cycle dashboard.
- Organizes workflow, problem-solves, and manages multiple ongoing priorities with minimal supervision
- Develops reports to support Service Level agreements to ensure prompt response to issues/concerns leading to improper billing coding and charging
- Creates process to perform and/or support the underpayment analysis and work with Patient Accounting to resolve payment variance
- Collaborates with coding, billing, clinical, and charge champions to ensure accuracy in charging.
- Assists in developing and implementing charge capture policies which optimize compliant revenue generation along service lines, Supports compliance efforts by adhering to regulatory, organizational, and departmental guidelines related to charging for services.
- Maintains a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist compliant charge capture practices.
- Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties.
Requirements
- Three years of experience in hospital clinical and financial data, and expertise working with these complex relationships to produce solutions that ensure appropriate charge capture. required
- Strong independent worker with known ability to prioritize and escalate tasks as required
- Demonstrated ability to identify data and analytic challenges including data integrity, appropriateness of data sample, and consistency between sources
- Experience with fully leveraging the power of analytic tools to develop trends and establish dashboards
- Knowledge of CMS local, state, and federal regulatory and the various data elements associated with all types of claim forms
- Effectively communicates with AMHS leadership, management, and staff, Maintains positive interaction with department staff as required for communication concerning data entry status, completeness, or other information concerns.
- Associate's Degree in HIM, healthcare finance or a related discipline - required
- Possess a strong theoretical and practical working knowledge
- along with, experience of how a healthcare Revenue Cycle eco-system should work (best practice)
- Advanced skills using Microsoft Excel, PowerPoint, Word, Access
- Demonstrated ability to manage multiple priorities and meet all established deadlines
- Excellent verbal and written communication skills
- Knowledge and expertise across all aspects of healthcare revenue cycle functions, including registration, coding and documentation standards, billing, and collection processes and payor regulations
Nice to have
- Epic experience - preferred
- Certified Revenue Cycle Representative (CRCR), CPC, CCS, or other coding credential - preferred
Compensation
- $64,972.00 - $97,458.00
Benefits
- Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
- Thank you for your interest in Albany Med Health System!
- Albany Med Health System is an
- Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
- Advises departmental staff and charge champions on proper usage of charge codes based upon medical record analysis.
- Acts as source of reference for enterprise on regulatory, reimbursement or billing changes, and develops and implements training to maintain and support compliance with federal and state regulations.
Equal opportunity
- equal opportunity employer.
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