Summit Healthcare

Job Details

Description

The Charge Capture Manager is responsible for the supervision of Summit’s charge capture staff and revenue capture workflows. Duties include guidance and coverage for employees, monitoring of Quality Assurance measures and auditing, and oversight in ongoing staff training. Under the general supervision of the Sr. Director of Revenue Cycle, the Manager of Charge Capture is responsible for all aspects of charge entry and charge corrections, including supervision of staff. This position will actively assess the charge capture process for multiple service lines to ensure revenue integrity and process optimization. The Manager of Charge Capture role participates in the analysis, testing, implementation, upgrade and maintenance of all host system features and functionality associated with charge capture and related workflow. The position will monitor and assist in charge reconciliation reporting to achieve key performance indicators (KPIs) as outlined by the organization and in alignment with best practice.

Essential Functions

• Ensures the accuracy and completeness of daily charge entry operations.
• Responsible for adequate staffing and overage in all Charge Capture areas.
• Responsible for creating a standard workflow and ensuring staff adhere to it.
• Monitors all Charge Capture processes generally and individual workers specifically to assure compliance with department policies and procedures.
• Monitors and reports on staff production.
• Ensures proper utilization of software systems to ensure data integrity and a high level of service to all patients and consumers.
• Tracks, manages, monitors, and reports on related KPIs for the applicable work group.

Other Duties

• Responsible for data quality auditing and communicates to staff regarding opportunities for improvement to uphold and exceed performance standards.
• Responsible for charge reconciliation reporting and communicates to staff regarding opportunities for improvement to uphold and exceed performance standards.

Responsible for ensuring clean claim submission as it relates to the charge capture workflow.

• Participates in denial review initiatives, as necessary.
• Responsible for soliciting patient and provider feedback and formulating this feedback into actionable insights.
• Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars.
• Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed.
• Assists in department budget management.

Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Abilities

• Knowledge of healthcare payer regulation and guidelines.
• Analytical ability required to evaluate processes and to recommend improvements as necessary.
• Must have excellent problem-solving skills and be able to independently solve issues related to the patient revenue cycle.
• Must be able to coordinate multiple projects simultaneously.
• Must be able to monitor multiple data points/metrics simultaneously.
• Must understand interactions/workflow between financial and clinical areas.
• Advanced computer system administration and technical skills required.
• Must have excellent critical thinking skills and be able to independently solve complex issues related to care navigation and payer requirements
• .Must be able to communicate effectively across multiple forums.
• Must be able to understand and communicate data effectively
• This position requires knowledge of general office equipment (including the telephone system, fax machine, copy machine, computer, and commonly used hospital programs).
• Requires excellent critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and the ability to exercise independent judgment.
• This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment.
• Must read, write, speak, and understand English.

Supervisory Responsibilities

• Job includes full supervisory responsibilities, such as providing daily work direction responsibilities, approval of absences or overtime, and recommendations and/or approval regarding terminations, pay changes, or job changes.
• Supervises day-to-day operations; interviews, hires, and orients new employees; coaches and mentors staff; creates and maintains policies and work procedures; develops training programs; counsels staff on performance and behaviors; and plans and coordinates the team’s activities.
• Assists with subordinate performance reviews, ongoing associate coaching and performance improvement plans, as necessary.

Work Environment

At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice.

To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards:

• Always SHINE – show respect and be kind.
• Always work together – we are on the same team.
• Always serve others – no job is beneath you.
• Always maintain high standards of quality and safety – best practice every time.
• Always communicate clearly – be compassionate.
• Always practice integrity – maintain confidentiality.
• Always be accountable – take responsibility.
• Always empower – create an environment of success.
• Always excel – don’t settle for mediocrity.
• Always promote wellness – make choices for a healthy lifestyle.

Physical Demands

Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for brief periods of time.

Required Education and Experience

• RN License

OR

• Medical coding certification

OR

• Clinical Documentation Improvement credential.
• 3-5 years related experience in healthcare, charge capture, revenue integrity, revenue cycle or related area.

Preferred Education and Experience

• Certified Revenue Cycle Representative (CRCR) certification.
• 1-3 years of supervisory experience.
• Bilingual (English/Spanish).
• Medical terminology.

Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.

This is a safety sensitive position.

Qualifications

Licenses & Certifications

Required

RN Registered Nurse

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.