Charge Capturer

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.

Directly reports to the Business Manager, Perioperative Services. Responsible for charge capture for Perioperative Services, which includes Anesthesia time and supplies, PACU time and supplies,OR time, OR supplies,OR implants,explants,Surgease time,supplies,implants,explants,Urology time,supplies,implants,explants .Responsible for the audit and reconciliation of Hemodialysis charges and Litho charges.Responsible for rectifying charge errors in Labor and Delivery and Endoscopy.Responsible for Endoscopy free text mark up also. Responsible for the development and maintenance of an implant charging process. Maintains a liaison relationship with the SBO, Revenue Department, internal audit and MIS for all charge capture issues including internal and external audits. Supports revenue data needs of ongoing performance improvement projects. Provides project management expertise necessary to drive significant breakthroughs and process redesign within perioperative services related to the charge capture process. Responsible for independent action in performance improvement project oversight. Evaluates on an on-going basis the charge capture process to ensure timely and accurate charging. Responsible for developing and maintaining departmental policies and procedures for charging. Uses Six Sigma, LEAN, change management and acceleration (e.g., CAP, WorkOut), and other available performance improvement methodologies to achieve these goals.Provides advanced computer system support and advanced reports to VP's,Exec Directors,Managers ,Department Chiefs,Medical Directors and approved physicians.Oversees BA's charge capture roles.Liason between EPIC,Revenue integrity,CMM,Marketing,and Nursing for all reporting and charge capture services.Assists scheduling with CPT procedure booking,assists team coordinators on creating surgeon pref cards.Responsible for workques in EPIC.Provides reports to Senior Mgmt.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Responsible for both internal and external charging audits. Responsible for implementing audit recommendations.
• 2. Analyze and document all problems and resolutions to OR charging process
• 3. Develops and maintains a working knowledge of CPT coding, ICD-9 coding, DRG's and revenue contracts to ensure proper and effective charge capture is accomplished in Perioperative Services.
• 4. Develops working knowledge of all standard Hospital software products related to Perioperative Services charging, for example - SDK, Cerner,EPIC and Lawson.
• 5. Develops working knowledge of charging interfaces. Communicates with vendor and Management Information Systems concerning all interface requirements to maintain charging interfaces.
• 6. Develops and maintains an implant charging policy and process to include development and implementation of policy to define chargable vs. nonchargable items. Plans and conducts appropriate staff in-service on charging policy and processes
• 7. Assists all departments within Perioperative Services to create and maintain the system 's disaster recovery measures for automated charging processes
• 8. Daily review of operating room charges to ensure complete, timely and accurate charging.
• 9. Daily review of late charge report and action steps to reduce or eliminate late charges
• 10. Coordinates with SBO and revenue to improve charge capture and resolve charging issues.
• 11. Responsible for identifying, implementing and updating perioperative charging policies and procedures.
• 12. Works directly with OR Supply staff, Nursing staff and OR Management to resolve missing charges . Follows up with staff to address specific problems such as completing accurate documentation of implants to include product, serial number and manufacturer.
• 13. Verifies accuracy of charging data on a daily basis. Responsible for developing data integrity reports and addressing issues that may arise.
• 14. Develops dashboard/scorecard for all levels of management within perioperative services related to charges.
• 15. Audits appropriate use/documentation of charges for defined case specific new technologies.
• 16. Responsible to audit specific cases to ensure accuracy of invoiced items and charged items
• 17. Oversees the maintenance and reporting of data through the perioperative departmental information systems.
• 18. Report Writing,Report Generation and Distribution
• 19. Verifies Accuracy of data on a daily basis.Responsible for data integrity of reports and addressing issues that may arise
• 20. Performs monthly data integrity to reconcile daily Master Log of Cases and close-of -month or some other data validation processes and makes corrections where applicable.Issues monthly reports and data extracts.
• 21. Maintains current working knowledge of each module(nursing documentation,materials management ,anesthesia documentation,billing)
• 22. Coordinates with organization personnel to determine,design and recommend system standards to be utilized with Peroperative Services.
• 23. Assists with Picklist and Preference Card Management to assure continuing accuracy
• 24. Continual revenue enhancement ,streamlining processes to increase revenue but not labor.

Qualifications

EDUCATION

Bachelor's Degree in Business Administration or related discipline plus related work experience or Associates degree in related discipline plus 5-7 years of related experience.

EXPERIENCE

3-5 years of related experience. CPT Coding knowledge required, coder certification preferred. Minimum or 3 years in Healthcare and/or Operating Room environment preferred. Financial, business and managerial experience strongly preferred.

SPECIAL SKILLS

Strong interpersonal skills with excellent verbal and written communication skills. Ability to effectively translate user needs into automated informational data. Extensive experience with industry standards such as Windows 2000 and XP, MS Word, Excel, Power Point, Access. Training or willingness to train in current performance management techniques (e.g., CAP, Workout, Six Sigma). Knowledge of POINTS, SDK and Lawson.

YNHHS Requisition ID

189882