Professional - Non-Clinical:Administrative/Business Support
Charge Auditor – Revenue Integrity – Maitland
Florida Hospital Maitland seeks to hire Charge Auditor who will embrace our mission to extend the healing ministry of Christ.
Established in 1908, Florida Hospital is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources. The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel. The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.
The Revenue Integrity Department works collaboratively with all Revenue Cycle Department's. The department focus is to ensure the integrity and compliance of the hospital's revenue stream. This responsibility is achieved by performing patient charge audits, denials and appeals management, Local and National Coverage Decision management, and ensuring that the clinical systems and process are in place for charge capture.
Full Time; Monday- Friday; 8:00 am – 5:00 pm
The Revenue Integrity Charge Auditor is responsible for reviewing accounts for accuracy via the use of the charge capture audit system in conjunction with Local, Federal and State compliance guidelines in addition to managed care reimbursement practices in order to improve the accuracy and efficiency of the charge capture phase of the revenue cycle. Uses clinical knowledge and billing experience to compare the medical records documentation to patient account charge detail pertaining to individual items billed. Assists the Revenue Integrity Clinical Liaisons in identifying and communicating missing or misdirected charges to individual clinical/ancillary departments. Works closely with Operations Manager, HIM, Revenue Cycle Finance and PA/PFS Billing departments to resolve charge capture related issues. Adheres to Florida Hospital Corporate Compliance Plan and to rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Ability to work and meet deadlines in a fast-paced, dynamic, project-oriented environment.
Ability to relate operational performance in the healthcare environment and to present information to all levels of management.
Comprehensive end user computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.
Extensive understanding of CCI edits, CPT, HCPCS, ICD-9-CM, and Revenue codes.
Extensive knowledge of Registration, Medical Records Coding, Government, and Managed Care billing rules, coverage, payment, and compliance.
Ability to read medical charts or dictation, understand services performed, and correlate those services to charges on the bill (UB-04).
Self-motivation, detail oriented focus, and outstanding customer service skills.
Minimum 3-years experience in healthcare or related field, with specific emphasis on billing, charging or coding.
In-depth knowledge and ability to navigate hospital's multiple information systems; HOST (RI, RS, MA, MM, PS, SD, etc.), EOS, Contract Management, Cerner Millennium & Intranet. (Preferred)
Knowledge of FH Chargemaster system and the impact changes in the chargemaster has on the FH Clinical departments and Revenue Cycle. (Preferred)
Navigate in DDE (online Medicare billing). (Preferred)
Minimum 3 years hospital clinical or nursing experience. (Preferred)
Licensure, Certification, or Registration Required:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). (Preferred)
Registered Nurse (RN) currently registered with the Florida State Board of Nursing. (Preferred)
Demonstrates through behavior Florida Hospital's Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization's Performance Excellence Program
Works with Clinical Liaisons to routinely identify charging opportunities, proactively identifying revenue opportunity and suggests improvements with revenue cycle leadership to prioritize audits as it relates to charge capture and/or revenue flow.
Audits and enters charges at or above minimum accuracy and productivity rate set by department leadership (accuracy measured by monthly quality reviews).
Inputs charges correctly into charge capture audit system, working with Clinical Liaison, HIM and PFS to assure complete and accurate billing.
Monitors reports of accounts via charge capture audit system on a routine basis, keeping number of accounts on this list below goals set by department leadership.
Works effectively with revenue cycle department to thoroughly understand how clinical changes impact changes in net revenue.
Performs wide range of duties in support of total department efficiency including but not limited to the involvement in aspects of developing the annual pricing update; creating, updating and maintaining the Chargemaster with minimal errors as established by Revenue Integrity Leadership.
Works as part of a team to cover peak periods and assists with workloads as opportunities present.
Remains current with all assigned reading and department education plans.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Charge Auditor opportunity with Florida Hospital Maitland and apply online today.
Florida Hospital is dedicated to improving lives not only in Central Florida, but also around the world. As a destination hospital, we are committed to serving the health care needs of our patients with a holistic approach to ...heal the mind, body and spirit. We strive to be the hospital of choice for patients, physicians and employees. Over the last 100 years, Florida Hospital’s mission remains unchanged: to extend the healing ministry of Christ.