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Charge Reconciliation Supervisor

Company: Northeast Georgia Health System, Inc
Location: Oakwood
Posted on: January 16, 2022

Job Description:

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. Charge Reconciliation Supervisor Full Time - 8:30am-5:00pm Job Summary: Oversight and accountability for the Charge Capture Team (also to include Nurse Auditing). Evaluates and analyzes the daily operation of charge capture, charge reconciliation and auditing. Supervises charge capture tasks for all non-ancillary outpatient (OP) services. Ensures that the charging protocols of ancillary departments meet requirements necessary to be compliant with all regulating agencies and realization of all appropriate revenue as well as compliance with NGHS. Facilities endeavors aimed at improving the charge capture process for the various ancillary departments of NGHS. Provides support and guidance to improvement and problem-solving initiatives. Minimum Job Qualifications:

  • Associate's Degree. Bachelor's Degree in Health related field and/or business preferred; analytical, organizational and communication skills required.
  • Registered Nurse licensed in the State of Georgia
  • A minimum of five (5) years in professional nursing and a minimum of one (1) year experience with revenue cycle leadership, charge capture, and variance resolution.
  • Proficient in the use of Microsoft Office Programs, including but not limited to: Excel, Word, Powerpoint, and Access. Knowledge of EPIC, nThrive, MedAssets and OneContent preferred. Job Specific and Unique Knowledge, Skills and Abilities - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
    • Strong knowledge of inner workings of hospitals and health systems and knowledge of philosophies and principles of management.
    • Ability to research charging/coding, reimbursement and regulatory requirements.
    • Knowledge of clinical setting such as Laboratory, Radiology, Physical or Occupational Therapy, Respiratory Therapy, Cardiology or Oncology.
    • Must have a good understanding of the Revenue Cycle and areas such as the General Ledger, Cost Accounting, Inventory, Productivity, Cost Reporting and Budget.
    • Knowledge of CPT/HCPCS, UB-92 Revenue Coding, modifiers, billing regulations, DRGs and APCs.
    • Refined interpersonal skills and interactions with all levels in business environment; conceptual; analytical.
    • Effective communicator both verbally and in writing.
    • Strong delegation and diplomacy skills, the ability to work with teams and be results oriented.
    • Possess effective time management skills to permit handling of a large workload.
    • Demonstrates the ability to manage charge capture protocols and variance resolution.
    • Demonstrates commitment to professional growth and competence. Essential Tasks and Responsibilities - - - - - - - - -
      • Daily Supervision of the Charge Capture team with responsibilities directly related to the accuracy of charge capture, charge reconciliation and auditing ensuring the most efficient use of personnel resources.
      • Responsible for departmental metrics including safety, people, quality, delivery and stewardship goals to ensure efficiency, accountability, high quality service and positive outcomes.
      • Responsible for completing Performance Evaluations and Disciplinary Actions.
      • Approves PDO requests, maintains personnel files and attendance records for employees.
      • Responsible for interviewing and hiring new employees.
      • Develop and maintain strong working relationships with internal and external stakeholders.
      • Captures performance trends and creates process improvement standards. Provides real-time feedback to staff and performs quality audits monthly.
      • Participates in orientation, education and training efforts to maintain knowledge level.
      • Ensures the charging protocols of ancillary departments meet requirements necessary to be compliant with all regulating agencies and realization of appropriate revenue.
      • Works with the CDM Team and revenue producing departments to ensure the ongoing coordinated consistency for charges, including accurate descriptions, coding, additions, deletions, routing of revenue and pricing.
      • Ensures regulatory billing with correct coding/charges on accounts.
      • Improves the charge capture process for the various ancillary departments of NGHS.
      • Maintain a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist the health system to increase revenue while accurately complying with billing guidelines.
      • Performs chart audits to ensure compliance with appropriate charge protocols, billing requirements and governmental regulations.
      • Communicates charging omissions/errors to appropriate stakeholders for reconciliation prior to final billing.
      • Maintain high productivity and quality with minimal supervision. #CB Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Keywords: Northeast Georgia Health System, Inc, Atlanta , Charge Reconciliation Supervisor, Other , Oakwood, Georgia

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