RN, Auditor, Revenue Cycle Management, Predominantly Remote

MemorialCare Remote
rn revenue revenue cycle revenue cycle management cycle management remote revenue revenue cycle cycle cdm charge master compliance
March 24, 2023
Fountain Valley, California
RN, Auditor, Revenue Cycle Management, Predominantly RemoteCDM Specialist will assist CDM supervisor and manager in maintaining and analyzing the Charge Master (CDM) for charge component compliance and revenue cycle integrity; monitoring compliance with Federal and State guidelines, performing periodic audits and provide education of Charge Description Master.Essential Functions and Responsibilities of the JobAssist with the maintenance of CDM due to regulatory requirements as well as requests for services including but not limited to Charge Description, Revenue Code, CPT, modifiers and cost center for Adds, Changes and Inactivates to A/R system.Works collaboratively with IS to support applications and their subsystems for order entry and subsequent charges for specific discipline; i.e. laboratory, imaging, cardiology.Serves as a resource for staff throughout the health system involved in the revenue generation and charge master related issues and provides education on use of the Charge Master on the charging regulations.Develop and implements strategic goals of standardization and consolidation of charge/revenue systems and structures.Be at work and be on time. Prepared for meetings, works on assignments, and provides feedback on projects. Reliable internet access and maintains connectivity. Communicates timely by phone, email, and/or other departmental resources.Follow company policies, procedures and directivesInteract in a positive and constructive mannerPrioritize and multi-taskPay Range $93,184.0 - $135,179.20Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at Memorial Care that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there s more... Check out our Memorial Care Benefits for more information about our Benefits and Rewards.Number of Hours per Pay Period: 80 (Non Exempt)Predominantly remote - required to be onsite as needed, at the discretion of the supervisor/managerConstructs charges in a timely manner to facilitate timely revenue cycle process.Resolves complex charging issues.Assures Charge Navigators are optimal and user friendly with CPT details for accurate charging.Collaborates with Ancillary systems and assigns appropriate CDM s for ordered procedures/tests.Educates Ancillary/Clinical departments regarding charge selection for service provided.Assists with Supply Chain Management in determining appropriate charge for chargeable item. Other duties as assigned ExperienceThree to five years experience in Chargemaster, nurse auditing, coding, or revenue cycle and hospital billing. Charge Master Maintenance preferably in a multi-hospital system.Knowledge of HIPPA compliance requirements.Working knowledge of CPT, HCPCS Level II, Local Level III, and ICD 10 coding and associated clinical expertise.Familiar with Epic Resolute functionality preferred.Utilizes Excel for reports and data analyses.Ability to multi-task.Demonstrate a high level of critical thinking skills.Rational and logical decision making abilities. Education Current RN/LPN LicenseBachelor of Science in Nursing preferredCompetent with MS Office with strong emphasis/skilled on Excel"I love working at Miller Children's & Women's Hospital Long Beach because I value working for a company that invests in its employees and the community we serve. From the support and guidance I receive from managers who value my professional and personal growth; to being able to work alongside colleagues who are dedicated to help their patients and families. I feel inspired every day to do the work that I love alongside people who share a similar vision." Join Our Talent NetworkPlease set your category and location selections prior to submitting.First NameLast NamePhone NumberEmailCategory * Select a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click Add to create your job alert.Job CategoryLocation*Compliance, Fountain Valley, California, United States Remove

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