Address
Form of workSalary: $36.56 - $56.67 Hourly
Location : Las Vegas, NV
Job Type: Full Time
Job Number: RIA_12_23
Department: PT/PATIENT ACCOUNTING SVCS - 8530
Opening Date: 12/13/2023
Closing Date: 12/20/2023 5:00 PM Pacific
Position Summary
EMPLOYER-PAID PENSION PLAN (NEVADA PERS)COMPETITIVE SALARY & BENEFITS PACKAGE
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Position Summary:
Maintains the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements. Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities. Creates action plans for capturing missed revenue. Identifies edits in patient management/billing software that impacts billing accuracy. Ensures CPT, HCPCS and revenue codes are accurate and compliant will all charging and billing guidelines. Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.
Job Requirement
Education/Experience:
Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
Licensing/Certification Requirements:
Current License by the Nevada State Board of Nursing to Practice as a Registered Nurse, or certification in one of the following: American Health Information Management Association (AHIMA) credentials: Registered Health Information Management Administrator or Technician (RHIA/RHIT), Certified Coding Specialist (CCS).
Additional and/or Preferred Position Requirements
Knowledge, Skills, Abilities, and Physical Requirements
Knowledge of:
Compliance regulations related to charge capture, clinical documentation, coding, and billing requirements; Epic and Craneware systems; clinical Revenue Integrity processes and impact through revenue cycle; charge master, coding principles and guidelines including, but not limited to CPT, E&M, HCPCS, code edits, auditing, denials management, documentation improvement and related revenue cycle workflows; auditing concepts and principles; reviewing medical records and coding documents according to standard practice; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.
Skill in:
Developing effective solutions for complex business challenges; leading teams to consensus; developing training materials; reviewing and verifying accuracy of data; reviewing medical records and coding documents according to standard practice; using initiative and independent judgment within general policy guidelines; preparing clear and concise reports,
correspondence and other written materials; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER
01
What best describes your qualifications? Please select all that apply.
02
Do you have a minimum three (3) years of experience in reviewing hospital charge capture, medical records, clinical charts, regulatory policy compliance, and/ or claims adjusting?
03
Have you graduated from an accredited school of nursing or equivalent to a Bachelor's degree in Healthcare, Finance, or a closely related field?
04
(All-Req) I understand that my answers to the supplemental questions alone will not qualify me for the position. I must document those experience, level of education, and certifications clearly in the application in order to be qualified.
05
Are you a current UMC employee?
06
Please select what best describes your experience. Select all that apply.
Required Question
Location : Las Vegas, NV
Job Type: Full Time
Job Number: RIA_12_23
Department: PT/PATIENT ACCOUNTING SVCS - 8530
Opening Date: 12/13/2023
Closing Date: 12/20/2023 5:00 PM Pacific
Position Summary
EMPLOYER-PAID PENSION PLAN (NEVADA PERS)COMPETITIVE SALARY & BENEFITS PACKAGE
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Position Summary:
Maintains the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements. Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities. Creates action plans for capturing missed revenue. Identifies edits in patient management/billing software that impacts billing accuracy. Ensures CPT, HCPCS and revenue codes are accurate and compliant will all charging and billing guidelines. Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.
Job Requirement
Education/Experience:
Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
Licensing/Certification Requirements:
Current License by the Nevada State Board of Nursing to Practice as a Registered Nurse, or certification in one of the following: American Health Information Management Association (AHIMA) credentials: Registered Health Information Management Administrator or Technician (RHIA/RHIT), Certified Coding Specialist (CCS).
Additional and/or Preferred Position Requirements
- EPIC Experience
- Recent Experience in maintaining both facility and Professional Fee schedules/chargemaster.
- 3 years' experience in charge capture reviews, claim auditing and medical record reviews.
- Knowledge of CMS Coding/Billing regulations
Knowledge, Skills, Abilities, and Physical Requirements
Knowledge of:
Compliance regulations related to charge capture, clinical documentation, coding, and billing requirements; Epic and Craneware systems; clinical Revenue Integrity processes and impact through revenue cycle; charge master, coding principles and guidelines including, but not limited to CPT, E&M, HCPCS, code edits, auditing, denials management, documentation improvement and related revenue cycle workflows; auditing concepts and principles; reviewing medical records and coding documents according to standard practice; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.
Skill in:
Developing effective solutions for complex business challenges; leading teams to consensus; developing training materials; reviewing and verifying accuracy of data; reviewing medical records and coding documents according to standard practice; using initiative and independent judgment within general policy guidelines; preparing clear and concise reports,
correspondence and other written materials; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:
- Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"! https://www.nvpers.org/front
- Vesting in the pension plan after 5 years of qualifying employment!
- Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage
- Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc.
- Extended Illness Bank (a/k/a Sick Bank)
- 457 Deferred Compensation Plan
- Comprehensive Group Health Insurance Plan
- Nevada has no State Income Tax
- No Social Security (FICA) Deduction
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER
01
What best describes your qualifications? Please select all that apply.
- Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field.
- three (3) years of experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
- Valid state license as a Registered Nurse.
- Certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), Certification in Healthcare Revenue Integrity (CHRI), or the ability to obtain certificate within one (1) year of employment.
02
Do you have a minimum three (3) years of experience in reviewing hospital charge capture, medical records, clinical charts, regulatory policy compliance, and/ or claims adjusting?
- Yes
- No
03
Have you graduated from an accredited school of nursing or equivalent to a Bachelor's degree in Healthcare, Finance, or a closely related field?
- Yes
- No
04
(All-Req) I understand that my answers to the supplemental questions alone will not qualify me for the position. I must document those experience, level of education, and certifications clearly in the application in order to be qualified.
- Yes, I understand and will include those experience, level of education, and certifications clearly in the application.
05
Are you a current UMC employee?
- Yes
- No
- No but I am a former UMC employee
06
Please select what best describes your experience. Select all that apply.
- Epic Experience.
- Recent (past 5 years) in maintaining facility and professional fee schedules/chargemaster.
- Knowledge of CMS Coding/Billing regulations.
- 3 year's experience in charge capture reviews, claim auditing and medical record reviews.
Required Question
