HVC- Charge Capture Coordinator - New Haven, United States - Yale New Haven Health

Description

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.

Directly reports to the Manager, HVC Procedures. Responsible for charge capture for HVC Procedural areas, which includes Interventional Radiology, Cardiac Cath Labs, Electrophysiology Labs, Nursing PICC service, HVC supplies and implants. 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 HVC Procedural 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.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Analyze and document all problems and resolutions to HVC Procedural services charging process
• 2. Develops and maintains a working knowledge of CPT coding, ICD-9/10 coding, DRG's and revenue contracts to ensure proper and effective charge capture is accomplished in HVC Procedural Services.
• 3. Develops working knowledge of all standard Hospital software products related to Perioperative Services charging, for example - SDK, POINTS and Lawson.
• 4. Develops working knowledge of charging interfaces. Communicates with vendor and Management Information Systems concerning all interface requirements to maintain charging interfaces.
• 5. 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
• 6. Assists all departments within HVC Procedural Services to create and maintain the system 's disaster recovery measures for automated charging processes
• 7. Generates reports to identify late charges posted to patient's accounts, identifies and resolves common themes and reports back to department managers.
• 8. HVC Procedures Service liaisons with SBO, revenue, finance and coding departments for all charge capture issues including internal and external audits.
• 9. Responsible for all charge capture reconciliation to ensure accounts are accurate and any changes include appropriate documentation to have available if audited.
• 10. Works to generate monthly reports to highlight repeated charge capture errors and works with department managers to educate staff on error trends in order to optimize appropriate charge capture at time of procedure completion.
• 11. Daily review of HVC Procedural Services charges to ensure complete, timely and accurate charging. Daily reivew of error logs and responsible to investigate/resolve account routing issues. Responsible for developing data integrity reports and addressing issues that may arise.
• 12. Develops dashboard/scorecard for all levels of management within HVC Procedural services related to charges.
• 13. Audits appropriate use/documentation of charges for defined case specific new technologies.
• 14. Central person responsible for working with department managers on creation of new procedure codes to ensure appropriate billing is set up and would be responsible to work with EPIC and system hospitals to acquire signoff on new procedure code requests or existing procedure code changes.
• 15. Daily review of accounts missing dictations and working with department managers to ensure missing dictations are completed to allow for timely and accurate procedure billing.
• 16. Investiages accounts missing charges or charges being routed to inappropriate cost centers.
• 17. Daily review of EPIC work queues to validate modifiers are used appropriately to ensure optimal reimbursements.
• 18. Collaborates with registration to review movements of HAR's and impact on billing for procedures performed.

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, O.R.. and/or Imaging environment preferred. Financial, business and managerial experience strongly preferred.

LICENSURE

Coding Certification highly desired.

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 EPIC and Lawson.

YNHHS Requisition ID

103806