Charge Capture Analyst - Scheduler Surgery FT Days
Carondelet St. Mary's Hospital
Location: Tucson, Arizona
Internal Number: 2205016488
Helping people feel better isnâ��t just about the treatment we give â�� the relationships we create and the compassion we share are just as important. Carondelet hospitals make a difference in the lives of our communities and the lives of those we work alongside every day. We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment.
From your first day, youâ��ll be part of a group of some of the most talented nursing professionals united in a common goal to care for those in our community. Ready to work with awe-inspiring teammates who are dedicated to making a difference? Join us in going above and beyond.
Charge Capture Analyst Surgery Separate Full Time Days Position Summary
This position reviews all surgical records and enters post case surgical logging into the system to ensure correct billing and case information so analyses can be made to evaluate case loads, costs, information by Physician, etc. Serves as liaison to Materials Management, Infection Control, Finance-Revenue and physician/clinic offices. Ensure charge appropriateness and documentation requirements have been met for all services performed on a daily basis to ensure optimal billing, reimbursement, and compliance. Incumbent has routine contact with internal department directors, physicians regarding reimbursement with third party payers to maintain up to date information. External contact consists of federal agencies and patients. Incumbent is responsible for maintaining current knowledge of compliance requirements relative to regulatory third party reimbursement and educating specific CHN department heads as appropriate.
Verifies accurate data on Perioperative Clinical Record and Charge Records.
Cross references to the previous dayâ��s surgery schedule to ensure complete surgical records including charges for implants and required implant records.
Identifies documentation issues for immediate resolution of potential missed revenue and incomplete charting.
Works with OR Manager and OR Materials Coordinator to ensure all information is correct and present; works with Surgical Educator to improve quality and accuracy of charge documentation by OR nursing associates.
Works with Materials Coordinator to ensure invoices submitted by sales reps are correct and match what was documented in the OR record; works with Clinical Nurse Leaders to gather and interpret statistical data for their service lines.
Enters post case logging and charges; works closely with revenue integrity and surgery scheduling to ensure cases are booked correctly with appropriate CPT codes.
Ensures case volume data entered is correct; charges are entered using designated procedure codes.
Generates daily, monthly, and ad-hoc reports.
Daily reviews previous dayâ��s surgery schedule.
Collects appropriate documents from pharmacy, radiology, materials management, eye center and surgery and collates the data for each patientâ��s record.
Enters data into databases, spreadsheets and systems used within the departments.
Retrieves statistical data and information as requested.
Uses report writers to prepare develop reports for management review.
Audit patient records to ensure all surgical costs were captured correctly.
This requires at times reviewing physicianâ�� dictation to confirm any issues that might appear.
Send corrections for patient records back to the RN in charge.
Analyzes requests for proposal and provides usage information and can provide by service line and product.
Level 2 â�� Proficient (in addition to above duties)
Runs reports for surgeons, first assists and some physician offices as requested to verify patient information/cases performed. .
Provides advice regarding preference cards when it has been identified that some items are no longer being used or products have changed.
Level 3 â�� Subject Matter Expert (in addition to above duties)
Knowledgeable of all surgical procedures and can identify errors or items that have not been included in charges.
Provides feedback into CDM changes or procedure leveling as requested.
Educates clinical units regarding reimbursement issues and communicates to ensure compliance with regulatory requirements.
THE CHARGE CAPTURE ANALYST SURGERY SEPARATE FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
Required: High School Diploma or General Education Diploma (G.E.D.) with medical terminology, anatomy, and physiology.
Preferred: Bachelorâ��s degree in Business, Finance or Healthcare related field desired
Preferred: Certified Coder
Required: Three (3) yearsâ�� experience in medical reimbursement, insurance, auditing, or utilization review.
Preferred: Five (5) years working in surgery with knowledge of hospital environment desired.
Required: Verbal and written communication skills. Team building, problem solving, critical thinking, interpersonal communication, detail oriented and accountability.
Required: Basic knowledge of CPT-4 and ICD-9 coding
Preferred: Knowledge of Medicare, Managed Care, and other 3rd party payer as related to hospital operations. Knowledge of fiduciary responsibilities as related to the laws, rules and regulations as defined by the Federal, State and JCAHO statues.
Required: Personal computer skills, including Windows and Microsoft office products
Preferred: Knowledge of Meditech, ESP or similar health care computer system.
Required: Positive attitude
Primary Location: Tucson, Arizona
Facility: Carondelet St. Mary's Hospital
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.