Revenue Integrity Charge Capture Coordinator

Job Overview

Fairview is looking to hire a Revenue Integrity Charge Capture Coordinator to join our team! This is a full-time position, working 80 hours per two-week pay period, during standard business hours. This role offers the flexibility to work in a home-based setting while remaining connected and collaborating with clinical, operational, and revenue cycle teams.

The ideal candidate will have a strong understanding of charge capture processes, coding principles, and revenue cycle operations. We are looking for a detail-oriented, self-motivated individual who enjoys problem-solving, process improvement, and supporting teams through education and collaboration.

Preferred Capabilities and Skills:

• Current coding credential such as RHIA, RHIT, CCS, CPC, or equivalent.

• Experience providing education, training, and workflow support to clinical and operational teams.

• Knowledge of charge capture processes, regulatory requirements, coding principles, reimbursement methodologies, and revenue cycle operations.

• Experience analyzing data, identifying discrepancies, and implementing process improvements.

• Ability to resolve complex operational issues while ensuring accurate and compliant charge capture practices.

Ideal Candidate Qualities:

• Strong organizational and time-management skills with the ability to manage competing priorities and deadlines.

• Self-motivated, adaptable, and comfortable working independently or collaboratively.

• Strong communication skills and a willingness to support and educate others.

• Ability to thrive in a fast-paced, multifaceted environment.

• Demonstrates accountability, attention to detail, and a continuous improvement mindset.

This is a great opportunity for someone who enjoys applying their coding and revenue cycle expertise to improve processes, support operational teams, and contribute to overall revenue integrity.

Responsible for ensuring that all hospital and professional charges are captured and posted to patient accounts in an appropriate, compliant, and timely manner in accordance with M Health Fairview Revenue Cycle Charge Capture Policy's required timeframe of 24 hours after the date of service or discharge and that charges are adequately supported by clinical documentation and orders as appropriate. Identifies, analyzes, and reconciles billing errors or missed charging opportunities. Facilitates and supports charge reconciliation training and processes to ensure accurate and timely charge entry, reduction of late charges and escalation of charging issues or open encounters. Works edits and errors within the charging systems, and trends data to identify risks, root cause resolution and opportunities for continuous performance and quality improvement.

Responsibilities

• Collaborates with clinical department staff and managers, IT analysts and Compliance staff to ensure charges are applied correctly through the system, contributing to the process of collecting expected payment for services provided.
• Acts as a liaison for clinical departments and revenue cycle leadership to address charge related questions or concerns. Promotes opportunities for continuous process improvement and works with department leadership to implement workflow changes as necessary.
• Supports functions of hospital and professional charge capture, charge reconciliation, and associated workflows through training, education, and monitoring.
• Develops custom charge capture educational materials for leaders and all clinical provider types
• Serves as an active participant in the ongoing education to physicians, clinical departments, service line leaders, charge champions and staff on proper usage or orders-based charging and charge codes.
• Monitors and works assigned account, charge review, claim edit, charge router review, and charge router error poolwork queues. Identifies missed revenue and suggests improvements to ensure timely and accurate clean claim billing.
• Maintains a solid understanding of medical records, coding, hospital charging, billing competency and compliance to all Federal, State, and Local regulations.
• Utilizes reporting resources to monitor KPIs such as open encounters, missing charges, late charges, and reporting to ensure that billing departments are performing daily charge reconciliation, all according to policy.
• Conducts routine audits of hospital and professional charges of all service lines to ensure complaint charging.
• Recommends system configuration and revenue guardian edits to prevent commonly missed charging scenarios.
• Understands and adheres to Revenue Cycle's Escalation Policy.
• Meets or exceeds quality and productivity standards set by direct supervisor or manager.

Required Qualifications

• A.A./A.S. in related healthcare field, or two years of experience in Revenue Cycle related work
• 2 years of applicable Revenue Cycle experience

Preferred Qualifications

• A.A./A.S. in Health Information Management or related healthcare field, or 5 years applicable experience in Revenue Cycle related work
• 5 years of applicable Revenue Cycle experience
• AHIMA Coding Certification
• AAPC Coding Certification
• NAHRI Coding Certification

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status