Primary City/State:

Arizona, Arizona

Department Name:

Ambulatory Revenue Integrity

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$20.60 - $30.89 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

The Senior Revenue Integrity Charge Error Technician is responsible for creating files for our BOT to add charge orders. Files sources for the BOT come from emailed spreadsheets, files on Teams, analyst reviews, etc.).  Analytical skill is needed to know which prompt code to assign as part of the file creation. Will be identifying and correcting BOT failures. Working with the BOT team to troubleshoot issues. Tracking the revenue generated from the analysts reviews. Following up on reviews where we are waiting for provider response.

Strong Excel skills needed

Systems frequently used: Cerner, RCx, NextGen

Schedule: Monday - Friday 8am - 5pm AZ Time (some flexibility after training)

This can be a remote position if you live in the following states only: AK, AZ, AR, CA, CO, GA, FL, IA, ID, IN, KS, KY, LA, MD, MI, MO, MN, MS, NH, NM, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WV, WA, & WY 

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for timely resolution of charge capture related edits and charge capture related denials. Partners with other units within Banner for edit resolution. Will serve as a leader on the team and takes an active role in identifying trends and participating in root cause and solutioning with other teams throughout Banner.

CORE FUNCTIONS:

1. Manages and directs daily interface errors to responsible teams. Partners with those teams to ensure resolution of interface errors. Corrects daily interface errors within the scope of Revenue Integrity to enable charges to process through to coding and billing.

2. Responsible for daily correction of charge capture edits in the coding system as well as charge related edits and denials in the billing system.

3. Identifies edit trends and works with appropriate teams to identify root cause and implementation of solutions.

4. Adheres to productivity standards and accuracy rates. Maintains a current knowledge of procedural terminology requirements and documentation requirements. Identifies and escalates potential compliance risks.

5. Monitors daily workflow processes, completes daily activities, and identifies and communicates to leadership any opportunities for improvement as needed. Identifies, addresses and communicates opportunities to improve work processes and practices good work group dynamics. May serve as a backup to other staff members to ensure the department operations are efficiently and effectively maintained.

6. Acts as a leader for the RI charge error team and assists with documentation of procedures and training of new staff to maintain consistency in practice across the system. Performs quality and accuracy audits.

7. Works as an integral member of Revenue Integrity to positively impact revenue cycle by providing timely and proactive services, as assigned, contributing to unit goals. Serves as a key team member assisting with charge capture process improvement projects.

8. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over four or more years of related work in the same type of clinical, medical office or acute care unit.

Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good understanding of reimbursement methodologies.

Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Anticipated Closing Window (actual close date may be sooner):

2025-01-22

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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