Job Details

Overview

Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion?

Who we are

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

Our culture

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status.

Responsibilities

Purpose: Supporting the faculty group practice and affiliated provider groups at The Ohio State University, the OSUP Revenue Integrity Department safeguards professional revenue charging processes for more than 1,400 providers. Reporting to the Revenue Integrity Manager the Revenue Capture Analyst provides charge auditing support throughout the organization to ensure timeliness and ensure the integrity of charging in the the EPIC system

• Assess and Analyze daily charge activity for assigned area.
• Works with the Revenue Integrity Manager on quality assurance and auditing of charge activity within IHIS.
• Understands system workflows to identify opportunities and minimize missed charging.
• ED Reconciliation; analysis of all ED charges to ensure no revenue is missed
• Works closely with clinical and revenue cycle build teams and end users to identify optimization opportunities.
• Anesthesia Reconciliation; analysis of charge sessions for submission to Central Coding Department for revenue capture.
• Analyzes and problem solves discrepancies and issues, follows through with solutions. Reports findings and outcomes to management.
• Opens all tickets for Revenue Guardian Edits
• Prepares monthly reports for management
• Responsible for optimizing revenue guardian edits
• Troubleshoots, identifies root cause and documents problems and partners with Revenue Integrity Auditor to determine look-back projects
• Compiles information/data on each division for purposes of internal management and division reporting.
• Ensures that feedback is given to the Revenue Integrity Manager and Coding Managers regarding possible charge issues.
• Develops and maintains information management systems for error reporting.
• Understands and complies with billing regulations.
• Supports- via data extraction- randomized coder audits.
• Supports revenue cycle projects/ initiatives.
• This position may be assigned to special projects or accountabilities when other priorities are identified; as time allows.

• Requires a High School diploma or GED;
• At least five years of claims processing, insurance billing, and/or medical terminology
• Experience or training; or equivalent combination of education and experience in a healthcare environment.
• Certification of a CPC, CCS, CCS-P; or equivalent designation, is preferred.
• Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.
• Must have experience with a computerized billing system. EPIC experience is preferred.
• Strong project and process analysis skills; must have competency, tact, diplomacy and communication skills necessary to interact with peers, department personnel, administration and physicians both internal and external to patient accounting on a professional level.
• Proficient with Microsoft Excel.