Revenue Capture and Audit Specialist

Posted 10 Days Ago
Be an Early Applicant
Oak Brook, IL
1-3 Years Experience
Healthtech
The Role
The role involves conducting billing audits to ensure revenue accuracy, identifying discrepancies, and providing training to departments regarding charge capture. The specialist will also liaise with various hospital departments to maintain billing compliance and implement corrective measures as needed.
Summary Generated by Built In

Department:

10288 Revenue Cycle - IL Revenue Assurance Clinical

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday through Friday day shift, flexibili

Major Responsibilities:

  • Provide billing and revenue accuracy by conducting charge capture/bill audits (concurrent, prospective and retrospective). Be improvement process solution with the department management
  • Provide orientation, education training and information to any revenue producing department regarding charge capture, policies, procedures, and underlying processes, ensuring charge accuracy and billing compliance.
  • Liaison with other hospital departments to solve their internal billing problems on an as-needed basis.


Education/Experience Required:

  • –3-4 Years previous hospital clinical or coding experience. –Knowledge of third-party healthcare insurance plans


Knowledge, Skills & Abilities Required:

  • Basic computer skills. –Excellent communication skills required. –Familiarity with hospital applications and basic Microsoft Office and Windows applications
  • –Certified Coding Associate (CCA) valid and current certification required


Physicial Requirements and Working Conditions:

  • –Ability to coordinate large projects; work under time pressures and meet deadlines. --Ability to lift 20# –Ability to work independently. –Skill understanding and analyzing patient bills and medical records. –Ability to interact with associates at all levels within the organization. Ability to provide superior customer service. –Ability to investigate, analyze and apply contract language, billing guidelines, medical and reimbursement policies. –Strong written, and oral communication skills and be capable of handling confrontational encounters in a positive manner. –Must have proven problem-solving abilities and strong analytical skills –Travel to local meetings at various sites as necessary –Ability to work under time pressure and meet deadlines. –Ability to communicate effectively and work independently. –Effective organizational skills. –Skill in understanding charge capture and analyzing patient bills. –Familiar with reading medical chart.

#LI-REMOTE

#LI- coding

#LI- CPC


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Top Skills

Excel
MS Office
Windows Applications
The Company
HQ: Downers Grove, IL
11,728 Employees
On-site Workplace
Year Founded: 2018

What We Do

Advocate Aurora Health is the 11th largest not-for-profit, integrated health system in the United States. As a leading employer in the Midwest, Advocate Aurora Health employs more than 75,000 individuals including more than 22,000 nurses. Advocate Aurora is engaged in hundreds of clinical trials and research studies, and is nationally recognized for its expertise in cardiology, neurosciences, oncology and pediatrics. The organization contributed nearly $2.2 billion in charitable care and services to its communities in 2019.

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