Coordinate activities of staff responsible for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other PRMO function for assigned clinical area.
Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for assigned clinical area.
Review and recommend changes/updates to the departments charge master(s) to maintain fees at levels that maximize reimbursement.
Review and recommend changes to department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT-4 and ICD-9 updates.
Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement.
Work with financial analyst, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues.
Act as a liaison to management and staff in the designated clinical area, PDC, PRMO, DUHS Hospitals, and third-party payers on revenue cycle activities for assigned areas.
Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.
Coordinate revenue management orientation and educational activities of clinical personnel including providers and staff about coding and other outstanding revenue cycle issues.
Train, direct, and coordinate activities of assigned financial analyst /or other employees. Perform other related duties incidental to the work described herein.
HEALTHeCAREERS Network - 6 months ago
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