University of Utah Health Care

  • Patient Charge Analyst - Inpatient Revenue Reconciliation

    Requisition Number
    32225
    Reg/Temp
    Regular
    Employment Type
    Part-Time
    Shift
    Day
    Work Schedule
    Variable
    Location Name
    525 Plaza
    Patient Care?
    No
    City
    Salt Lake City
    State
    UT
    Department
    COR CST 27L CARE TRANSFORM
    Category
    Clerical / Office Support
  • Overview

    As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

    This position analyzes and evaluates each patient's intra-operative record of chargeable items and bills the patient appropriately,. The incumbent provides information to managed care services for reimbursement issues, is responsible for archiving patient charges, and for working with, and in the absence of, the department's administrative assistant.

    Responsibilities

    • Coordinates with surgery schedules to account for all patient charges.
    • Analyzes and evaluates each patient's intra-operative record and or chargeable items and procedures performed.
    • Ensures that all patient chargeable items are accounted for.
    • Prepares patient chargeable items for data entry and confers with equipment supply analysts to obtain appropriate pricing on implantable surgical devices.
    • Educates nursing staff in patient charge issues.
    • Develops, maintains and updates patient charge files and accesses patient charge files to confirm appropriate/accurate billing for audit purposes.
    • Acts as a resource person for departmental administrative assistant by assisting in purchasing of supplies, coordinating in-services, and problem solving with personnel issues.

    Knowledge / Skills / Abilities

    • Ability to perform the essential functions of the job as outlined above.
    • Demonstrated computer, data entry, time management, organizational and human relations skills.

    Qualifications

    Qualifications

    Required

    • Two years of medical billing/medical office experience, or equivalency.

    Qualifications (Preferred)

    ***Note: This particular opening is general inpatient and not surgery specific.***

     

    Position Summary

    Revenue Reconciliation is part of the Nursing Informatics team specifically responsible for reviewing inpatient nursing charges and correcting when needed.  This position acts as a liaison between the IT department, Revenue Integrity, Nursing, Office Staff and other Electronic Health Record Users.

     

    Essential Functions

    1. Responsible for conducting medical record audits and evaluating the clinical content of documentation to ensure documentation supports nursing charges.
    2. Audit and update accommodation codes as needed to match clinical needs.
    3. Document changes made, calculate reconciled charges and provide feedback and monthly totals to nursing leadership.

    Epic Support

    1. Translate and communicate clinical billing needs to information technology staff and work to develop appropriate solutions.
    2. Provide quality assurance testing and analysis to ensure charges are dropping appropriately.
    3. Tracking for individual units to analyze opportunities for improvement.

    Revenue Cycle Support

    1. Proactively seeks opportunities to identify charge inefficiencies, research/analyze data.
    2. Coordinate with Revenue Cycle team for updates and changes
    3. Coordinate charge Code requests
    4. Maintain charge definitions. Review and update as needed.

     

    Charge and Documentation Education

    Responsible for providing education for accurate charge capture processes including documentation of bedside procedures and accommodations.  Education provided to Unit Managers, Nurses, HUCs and other staff as indicated.

     

    Knowledge/Skills/Abilities

    Demonstrated potential ability to perform the essential functions as outlined above.

    Ability to provide assistance to the population served.

    Demonstrated leadership, human relations and effective communication skills.

    Demonstrated ability to work in a collaborative environment.

    Demonstrated understanding of clinical and billing systems.

     

    Preferred Qualifications

    Health care related experience

    General office skills

    Familiar with Epic EHR

    Working Conditions and Physical Demands

    Employee must be able to meet the following requirements with or without an accommodation.

    • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

    Physical Requirements

    Carrying, Climbing, Color Determination, Crawling, Lifting, Listening, Manual Dexterity, Near Vision, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Walking

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