Charge Capture Consultant, CCS-RHIT-RHIA Job in Pasadena, California US
Charge Capture Consultant, CCS-RHIT-RHIA
Provides coding content expertise for new or enhanced Charge Capture initiatives. Ongoing maintenance in multiple clinical specialty areas, supplies, implants, facility and ancillary services. Work in collaboration with various workgroups and departments in the region is required. Establishes and maintains relationships with leaders from all areas of KFH, SCMPG and other departments and areas within KP, including Health Connect and Information Technology. Participates in committees, provides information when requested. Reviews operational performance and balances priorities. Assists department manager when requested or as needed. Essential Functions: - Expert in assigned specialty areas to include: system build, regional resource to clinical operations, reimbursement guidelines, coding rules and regulations and outside reference structures. - Originator of initial system requests in tracking system for new services upon meeting guidelines defined by Charge Capture. - All fee schedule implications must be considered and impact analysis completed. - A comprehensive summary will be prepared for consideration against clinical operations and revenue impact. - Monitoring of classification system updates for application within assigned venue. - Preparation of recommendations and position statement for incorporation into existing practice. - Analyze and assign updates to appropriate department navigator(s) and coordination with all fee schedule(s) entries. - Meet or exceed Revenue Cycle and KPHC deadlines within regulatory mandates and to meet SOX compliance. - Prepare communication content addressing pending changes/updates for distribution through appropriate communication streams. - Travel between Medical Center facilities may be required. - (NOTE: see NCAL 911534 Charge Capture Consultant). Qualifications: Basic Qualifications: - Bachelor's degree OR equivalent combination of education and experience in Health Information Management (HIM), Management, Business Administration, Healthcare, Public Health, Finance and/or other Allied Health. - Certification by the American Health Information Management Association (AHIMA) in one of the following: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) - Five (5) years of coding experience in at least one of the following specialty areas: radiology, laboratory, cardiology, GI, ortho, supplies implants, or neurology. - Electronic Health Record experience preferred. - Understands reimbursement guidelines as related to Charge Capture. - Understands EPIC files, ICD-9-CM, CPT, HCPCS classification systems and generic codes and pricing related to Charge Capture. - Demonstrates ability to understand, utilize and apply HIM principles, practices and standards related to electronic health records, confidentiality of patient information and technologies impacting HIM. - Demonstrates operational expertise in HIM functions including records management, chart completion, release of information, coding (including use of ICD-9-CM and CPT), abstracting, data reporting and Revenue Cycle Charge Capture. - Demonstrates ability to interact with diverse groups at all levels of the organization. - Demonstrates excellent communication and presentation skills (written and verbal). - Demonstrates ability to work in a team environment, build effective teams and is a motivated self-starter. - Demonstrates experience with results-oriented approach; must excel in a collaborative and consensus-building environment. - Demonstrates ability to respond to detailed questions from Hospital HIMs operational units (coding, release of information, record retrieval, transcription, etc.); reviews analytical data and monitor quality reviews and identify HIMs operational trends and benchmarks; develop data requirements and work with analytical groups to extract, organize and analyze data; develop and implement uniform IT platforms. - Demonstrates proficiency with computer systems including use of standard office applications (email, word processing, spreadsheets, etc.). - Must be able to work in a Labor Management Partnership environment. Preferred Qualifications: - Epic, Excel and revenue cycle 2 year experience. - Knowledge of computer skills to include Word, Excel, Powerpoint, Access and Visio.