Revenue Integrity Charge Assurance Associate

Job Summary :

Performs activities which promote timely and accurate revenue recognition, inclusive of charge toggling, manual posting of charge debits / credits, and / or review of documentation to support charge levels.

Assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports.

Works directly with departments to identify appropriate and available tools / reports used to monitor and reconcile charges, ensuring standard use across the organization.

As directed, captures and post charges based upon clinical documentation and / or other inputs from within the electronic health record (EHR).

Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms.

Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments related to charge accuracy and / or timing.

Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and / or timely engagement to resolve suspended charges.

Job Requirements :

Education and Work Experience :

• High School Education / GED or equivalent : Preferred
• Associate’s / Technical Degree or equivalent combination of education / related experience : Preferred

Essential Functions :

Supports and assists in the analysis of daily revenue capture by monitoring and trending gross revenue using various tools and reports.

As directed, captures and post charges based upon clinical documentation and / or other inputs from within the electronic health record (EHR).

• Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, preference list, flowsheet rows, orders, bed charging, third-party charge interfaces and other charging mechanisms.
• Balances charge summary to encounter forms keyed before updating charges. Keeps supervisor / manager apprised of matters regarding charge entry.

Coordinates and supports charge reconciliation efforts.

• Ensures suspended charges are being resolved appropriately and ensures late charges are being handled properly. Facilitates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
• Reviews and evaluates requests from Patient Financial Services (PFS, Coding, clinical departments related to charge accuracy and / or timing.

Coordinates with clinical departments and other Revenue Cycle departments to support timely charge reconciliation, rebilling projects and / or timely engagement to resolve suspended charges.

Performs other job-related duties as assigned.

Organizational Requirements :

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc.

as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.