费用审计分析师
Charge Audit Analyst
我们非常高兴您对加入Sutter Health感兴趣！
组织：
SHSO-Sutter Health System Office-Valley
职位概述：
负责提升医疗机构门诊临床文档编码和收费准确性的活动，包括与临床部门和编码人员的教育以及根本原因纠正，以支持符合政策的准确收费和编码。该分析师协助临床部门有效记录服务，并理解文档与收费之间的关系，符合相关政策和程序。
职位描述：
教育：
高中文凭或普通教育文凭（GED）
认证与执照：
CPC-认证专业编码员
或 COC-认证门诊编码员
或 RHIA-注册健康信息管理员
或 RHIT-注册健康信息技术人员
典型经验：
5年相关工作经验
技能与知识：
- 熟悉医学术语、疾病过程、患者健康记录内容和医疗记录编码流程。
- 具备解剖学、生理学和药理学的基础知识。
- 了解计费功能和费用描述主数据的组成部分。
- 了解收入周期应用程序，包括电子健康记录系统。
- 能够在快节奏的环境中同时处理多种任务/项目，满足既定的生产率要求，并与具有不同个性和工作风格的人合作。
- 能够遵守Sutter Health的政策和程序。
- 能够处理并维护机密信息。
- 理解基于医院的门诊收费和编码。
- 熟悉 Medicare APC 和 OPPS 报酬结构。
- 深入了解医学和计费术语、常用程序术语、诊断代码、医疗共同程序编码系统和收入代码。
- 了解政府和/或商业付款人的要求。
- 了解联邦、州和地方的监管出版物及其获取方式。
- 了解门诊全国正确编码编辑。
- 展示出能够审查健康记录并确定适用于医院/机构计费的相应费用/代码，涵盖多种服务线。
- 展示出能够使用官方编码/计费资源，包括 CPT/HCPCS 参考资料、OPPS 手册、NCCI 手册、NUBC 手册等，以确定适用的费用。
查看英文原文
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition Overview:
Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. The analyst assists clinical areas to effectively document services and understand the relationship of documentation and charging for the services provided in accordance with policies and procedures.Job Description:
EDUCATION:
High School Diploma or General Education Diploma (GED)
CERTIFICATION & LICENSURE:
CPC-Certified Professional Coder
OR COC-Certified Outpatient Coder
OR RHIA- Registered Health Information Administrator
OR RHIT- Registered Health Information Technician
TYPICAL EXPERIENCE:
5 years recent relevant experience
SKILLS AND KNOWLEDGE:
- Knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
- Basic knowledge of anatomy, physiology and pharmacology.
- Familiarity with billing functions and the components of a charge description master.
- General knowledge of Revenue Cycle applications, including Electronic Health Record systems.
- Ability to work concurrently on a variety of tasks / projects in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
- Ability to comply with Sutter Health policies and procedures.
- Ability to work with and maintain confidential information.
- Understanding of hospital-based outpatient charging and coding
- Knowledge of Medicare APC and OPPS reimbursement structures
- In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes.
- Knowledge of government and/or commercial payer requirements.
- Knowledge of Federal, State, and Local regulatory publications and how to access.
- Knowledge of Outpatient National Correct Coding Edits.
- Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing for a range of service lines.
- Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
- Possesses strong project management skills.
- Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads.
- Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) and hospital billing functions.
- Proficient with Microsoft Office computer applications (Excel, Word, and PowerPoint).
- Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously.
- Effective verbal and written communication skills, good listening skills, and the ability to interpret end users’ needs.
- Strong problem solving and investigative skills.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $42.41 to $63.62 / hour. California, New Jersey, and Washington Pay Range is $42.41 to $63.62 / hour. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, and Virginia Pay Range is $38.17 to $57.26 / hour. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, and Utah Pay Range is $33.93 to $50.90 / hour.The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Originally posted on Himalayas