Experienced Charge Capture Coordinator – Clinical Revenue Integrity Specialist (Remote)

Join arenaflex, a leading healthcare organization, in shaping the future of medical care and revenue management. As an Experienced Charge Capture Coordinator, you will play a vital role in ensuring accurate and timely charge capture, revenue integrity, and compliance with regulatory requirements.

About arenaflex

arenaflex is a renowned medical enterprise, part of the University of Southern California's (USC) medical system. With a strong commitment to academic excellence, world-class research, and state-of-the-art facilities, arenaflex provides highly specialized care for patients with complex medical needs. Our team of internationally renowned physicians and scientists work together to deliver exceptional patient care at various hospitals and clinics throughout Los Angeles, Orange, Kern, Tulare, and Ventura counties.

About the Role

We are seeking an experienced Charge Capture Coordinator to join our Clinical Revenue Integrity team on a full-time, remote basis. As a key member of our team, you will be responsible for unit and area-specific charge capture of clinical services and procedures within revenue-producing departments throughout the system. Your primary role will be to enter charges into our existing computerized billing system (Cerner and/or PBAR) accurately and within a timely manner. You will also perform due diligence in reviewing department clinical documentation, conducting reconciliation of department-generated records with billing system reports, and auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up.

Key Responsibilities:

* Review department clinical documentation from multiple sources and enter hospital charges accurately, timely, and in accordance with arenaflex charge capture policies/guidelines into Patient Accounting System - Cerner or PBAR.

• Demonstrate proficiency in using arenaflex charge capture policies, rules, criteria, and decision trees (algorithms) to assign the correct charge code.
• Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges).
• Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
• Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager.
• Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
• Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager, or Director.
• Review own work for accuracy and completeness prior to end of shift.
• Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
• Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
• Adhere to health information regulations including HIPAA.
• Perform other duties as assigned.

Essential Qualifications:

* High school or equivalent

• 2 years of clinical or healthcare experience in a hospital or medical office setting, with a focus on charge entry or medical records
• Excellent data entry and quality outcome skills
• Proficient in Microsoft Office applications and other software as needed
• Strong communication and interpersonal skills, with the ability to maintain confidentiality of patient, physician, and health system information
• Ability to maintain minimum standards of productivity and accuracy
• Strong analytical skills
• Understanding and/or experience with computerized billing systems
• Current knowledge of medical terminology, anatomy, and physiology
• Basic coding knowledge

Preferred Qualifications:

* Related undergraduate study or college or trade school coursework

• 1 year of experience with an advanced education degree or certification
• Knowledge of legal and fiscal requirements in the healthcare industry
• Certified Coding Specialist – CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification

Required Licenses/Certifications:

* Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Compensation and Benefits:

The hourly rate range for this position is $29.00 – $45.20. When extending an offer of employment, arenaflex considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Why Join arenaflex?

As an Experienced Charge Capture Coordinator at arenaflex, you will have the opportunity to:

• Work in a dynamic and innovative healthcare environment with a strong commitment to academic excellence and research
• Contribute to the delivery of exceptional patient care and revenue management
• Develop your skills and expertise in charge capture, revenue integrity, and compliance
• Collaborate with a talented and dedicated team of healthcare professionals
• Enjoy a comprehensive benefits package, including medical, dental, and vision insurance, retirement savings plan, and paid time off
• Pursue continuing education and professional development opportunities

How to Apply:

If you are a motivated and detail-oriented individual with a passion for healthcare and revenue management, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website. Apply for this job