Charge Capture Compliance Auditor

Description

Introduction

Do you have the career opportunities as a(an) Charge Capture Compliance Auditor you want with your current employer? We have an exciting opportunity for you to join Henrico Doctors' Hospital Forest which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Henrico Doctors' Hospital Forest, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Charge Capture Compliance Auditor where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

The Chargecapture Compliance Auditor will be responsible for the oversight for facility compliance of Medicare – National & Local Coverage Determination. You will also review MSC write-off report on a monthly basis to identify education/billing opportunities for Patient Access, departmental services, Coding and validation of NCD/LCD edit application

· You will attend designated department meetings related to write-offs and process improvement

· You will work in conjunction with various departments to establish pricing for CFO approval

· Participate in all ‘new business’ ventures to determine compliance related to Provider Based requirements, charge structure and reimbursement.

· You will manage the Labor & Delivery Charge Capture process

· Assist with the Observation Charge Capture process

· You will participate in unbilled management conducting weekly analysis of HOLD accounts and serve as liaison related to Charge Capture/documentation issues

What qualifications you will need:

· 5 years’ experience charging/auditing experience AND nursing or clinical experience in an acute care hospital setting

· Education: Nurse (RN/LPN), Allied Health Professional or coding certification with coding &/or charging experience

· Strong communication skills with hospital and medical staff

· Understanding of services, procedures and devices provided by the hospital

· Ability to understand implications of NCDs and LCDs to hospital and hospital departments

· Capability to summarize requirements of NCDs/LCDs for education of relevant hospital departments and staff.

· Ability to use tools and resources pertaining to NCDs/LCDs which are available on Regs website, CMS’ website, Medicare Contractor’s website, etc.

· Ability to develop and deliver hospital specific educational materials

Henrico Doctors’ Hospital has provided quality healthcare services to the Richmond community since 1974. We give patient's access to trained physicians and advanced technology. Our 340-bed hospital is one of the region's leading acute care facilities. The hospital offers a full range of healthcare services, with specialties in trauma, cardiovascular and neurological care, women’s health, oncology, and groundbreaking diagnostic imaging. We are a national trendsetter in kidney transplants through the Virginia Transplant Center. As part of the Virginia Institute of Robotic Surgery, we drive the state in minimally invasive procedures with da Vinci robotic-assisted surgeries.

We are proud to be the recipient of several national awards. The awards include Top 100 Hospital by Truven Health Analytics®, 100 Best Hospitals by Healthgrades, Top 10% in the Nation for Cardiology Services and Treatment of Stroke, and Healthgrades Stroke Care Excellence Award. We have many other Five-Star clinical achievements recognizing our heart, stroke, and critical care programs.

At Henrico Doctors’ Hospital, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Charge Capture Compliance Auditor opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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