University of Southern California logo
University of Southern California

A world-leading private research university, the University of Southern California - USC was founded in 1880. An anchor in the community of Los Angeles, Califor

Manager, Clinical Revenue Integrity

ManagerManagerFull TimeRemoteSeniorCompany Site

Location

California

Posted

5 days ago

Salary

$110.2K - $181.9K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Manage the charge capture team and support unit and the area specific charge capture of clinical services and procedures • Communicate missing or incomplete clinical documentation and charge entry errors for clinical department process improvement • Deliver direction to the documentation of all policies and procedures regarding charge capture and CDM Maintenance • Conduct meetings to evaluate department charge processes to improve charge capture and coding compliance • Coordinate with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge • Provide data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the improvement of charge capture • Respond to inquiries regarding Chargemaster and charge entry issues and supervise meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement • Work closely with revenue auditors and provide leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner • Aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance

Job Requirements

  • Bachelor’s Degree In healthcare related field
  • 5 years Experience in medical coding/ Chargemaster experience in a healthcare environment required
  • Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology
  • Knowledge of other government and third party payer reimbursement methodology required
  • Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plans
  • Excellent analytical, problem-solving, planning and evaluation skills
  • Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills

Benefits

  • Reasonable accommodations to applicants and employees with disabilities
  • Smoke-free environment

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