Job: Health Information Revenue Cycle Specialist - Job #: 93592BR
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Health Information Revenue Cycle Specialist
Aurora Health Care Metro, Inc.-100
2900 W Oklahoma Ave
# Hours Per Pay Period (Bi-weekly)
Monday - Friday 1st shift
Req # (optional)
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Aurora St. Luke's Medical Center is in search of a Medical Records professional who: Analyzes uncodable cases on the Discharge Not Final Billed (DNFB) Write-Off report. Works closely with clinical department managers in an attempt to get cases documented correctly and allow them to be coded.
Communicates with the Business Office to facilitate the write off of any appropriate cases.Monitors the DNFB status of Inpatient, Major Outpatient, and Minor Outpatient cases at the metro region hospitals and takes action to reduce the number of DNFB cases being held due to registration or documentation issues.
Communicates with physicians to facilitate the prompt completion of outstanding documentation on uncodable inpatient cases, especially related to high dollar accounts.
Analyzes the DNFB cases by clinical department location to identify problem areas related to timeliness, medical record documentation, or registration issues. Works collaboratively with the CIS Regional Coding Manager to communicate feedback and recommendations to department managers necessary to identify and resolve problem cases from being coded compliantly.
Educates clinical department managers as to how to manage their revenue cycle activity to ensure that cases are coded compliantly and billed accurately and timely. Educates clinical department managers as to how to reconcile cases and documentation issues identified on their Daily Revenue Cycle Worklist in an effort to reduce the DNFB.
Works closely with Patient Access Managers to communicate feedback necessary to identify and resolve registration issues.
Assists in the development of educational materials, policies, and procedures. Provides education relevant to these materials.
Collaborates with CIS Regional Coding Manager, Regional Operations Manager, and Site Supervisors to identify, assess, and improve department processes related to Revenue Cycle.
Responsible to monitor and analyze the uncoded Discharge Not Billed (DNB) cases to identify problem areas related to timeliness, medical record documentation, or registration issues. Works with medical staff, clinical departmetns, Patient Access and Central Business Office to obtain the missing documentation and resolved registration issues. Investigates and determines the reasons for uncoded accounts and helps to facilitate improvements in the effort to reduce the DNFB.
Skills / Requirements
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA). OR
Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA).
Advanced training beyond High School in Health Information Management or other related field.
Requires 3 years of experience in an acute care hospital either in billing, coding, registration, or medical records.
Must be familiar with either charge capture, registration, billing systems, revenue cycle, or coding.
Working knowledge of general diagnostic and procedural coding rules required.
Demonstrated excellent oral and written communication skills.
Understanding of clinical documentation requirements.
Strong analytical and problem solving skills. Detail, action, solution and results oriented.
Computer skills including Word and Excel essential.
Ability to work with a high degree of accuracy and give attention to detail of a repetitive nature.
Ability to work independently with minimal supervision and with confidential information.
Ability to exercise independent judgment and decision-making skills.
Ability to reflect initiative and cooperative spirit. Must be able to work harmoniously with co-workers, supervisors, physicians, and others.
Ability to travel between sites.
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Imagine a work environment where you are valued for finding better ways of caring for our patients and are offered flexibility, mobility and growth through a wide range of career options. With Aurora you'll find a diverse and comprehensive blend of benefits designed to make your life better both inside and outside of the workplace.
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