Quality Controls Assistants / Trainees (Male)
Jafferjee Brothers Exports (Pvt) Ltd
Ensemble Health Partners
Job type full-time
Full job description
Thank you for considering a career at ensemble health partners!
This position is primarily responsible for all acute and non-acute revenue cycle analytical needsThis includes the creation and maintenance of scorecards, dashboards, and ad hoc reporting using a variety of source systems and presentation softwareIn addition, this position is required to provide analytical insight regarding all reportsThis position is responsible to discover root causes and to develop a corrective action planRecommends modifications to established practices & procedures or system functionality as needed to support revenue cycle and then manages implementation of those recommended changesThe analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goalsThe analyst participates in implementation of new & existing functionality to support revenue cycle processes.
Essential job functions:
Daily review of charge items & revenue integrity work queues to ensure they are resolved accurately and in a timely manner to meet the deadlinesAnalyze billed charges, medical records and related medical documentation to look for missing, incorrect or late chargesEvaluate charge capture practices for their assigned facilities to ensure accuracy & completeness of charge capture and compliance with government and non-government payers rules and regulationsFollow up as appropriate when unusual items are noted and ensure problems are resolved and prevented in the futureMaintain working knowledge of cpt and hcpcs coding as well all billing, cci, mues, and other relevant coding/ billing guidelinesProvide recommendation based on finding to improve charge capture workflows and to standardize charge capture practicesReports on trends, findings, and opportunities for improvement to managements detailing findings and high risk items that leaders should be monitoring, including missing, incorrect, and late chargesWork closely with individual facilities representatives/clinical staff to establish and maintain positive relations to ensure revenue integrity goals are achievedParticipate in onsite meetings and interact on regular basis with site based department leaders regarding changes in charge capture practicePerforms database editing/auditing functions to maintain and/or improve data qualityOther job duties as assigned.
Minimum education : bachelor’s degree or equivalent experience
Minimum years and type of experience: 5 or more years of related experience desired
Other knowledge, skills, and abilities: excellent knowledge of epic, excel and sql queriesWorking knowledge of cpt & hcpcs coding guidelinesExcellent computer, proof reading, and written and verbal communication skillsExcellent interpersonal skills including the ability to communicate effectively with chp internal and external customer baseAbility to work independently, proactively with limited supervision and also as a team player when called uponAbility to work under pressureAbility to maintain the security of confidential information.
Scheduled weekly hours:
We’ll also reward your hard work with:
Great health, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/ad&d
Paid time off
And a lot more
Ensemble health partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the americans with disabilities act and applicable state and local lawIf you require accommodation in the application process, please contact our human resources department at 877-692-7780 or [email protected] This department will make sure you get connected to a human resources representative that can assist you.
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