This position will be responsible to:
a. Regular meetings with revenue producing departments to review, validate, and assist them in documenting their current charge practices. Checks to ensure practices are in line with regulatory billing and compliance guidelines.
b. Provide flow charts and other documentation for all current charge practices for all revenue producing departments
c. Keep issues log of findings/issues/action plans for the revenue producing departments.
d. Escalates any charge errors discovered to the Charge Error Correction Team and respective processes and standard work for charge error correction.
e. Provides training based on findings/issues/action plans as directed for the revenue producing departments.
f. Represent Renown Health to chart audit vendors who are either on site or remotely auditing clinical records for appropriateness of charges based on documentation.
g. Assist with on boarding new business entities and affiliated sub-licensee facilities to EPIC charge master, charge processes and reconciliation. Specifically, providing guidance and direction to Information Technology and Operational leaders of the new business entities regarding department configuration in Epic to ensure the integrity of the revenue generated by the new business entities.
h. Assist internal and external customers with new charge requests or changes, maintaining responsibility for all charge practices within Renown Health’s electronic medical record platform
i. Communicate CDM updates and changes in industry charging requirements to clinical leaders, Revenue Cycle leadership, and Finance.
j. Review departmental work queues to ensure departmental compliance.
k. Review, analyze, interpret and provide charge practice expertise as part of the New Service and Product request process. Collaborate with Contracting, Reimbursement subject matter experts, and Finance in order to produce ROI analysis for New Service and Product requestors.
l. Provide support and oversight to the Revenue Integrity Specialists, helping to attain needed feedback from clinical leaders to resolve claim edits or other stop bill processes to ensure claims can be submitted appropriately.