About this role
We are so glad you are interested in joining Sutter Health!
Organization
SHSO-Sutter Health System Office-Valley
Position Overview
Serves as charge capture/charge description master expert to clinical service line leaders for complex procedure areas such as Interventional Radiology, Operating Room, or Observation across Sutter Health. Focuses on specific clinical service lines to ensure best practices. Champions standardization of charge capture process, and ensures appropriate discipline-specific charge capture as it relates to government and commercial payer requirements. Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives. Ensures charge capture revenue management opportunities are identified and service line specific reimbursement and revenue management is reviewed and monitored.
Job Description
EDUCATION
Equivalent experience will be accepted in lieu of the required degree or diploma.
Bachelor's in Health Information or Science such as Nursing, Imaging, Clinical Laboratory or related field
CERTIFICATION & LICENSURE
Requirement dependent on the service line supported (to be determined and maintained by hiring manager):
RN-Registered Nurse of California
OR RHIT-Registered Health Information Technician
OR RHIA Registered Health Information Administrator
OR CPC-Certified Professional Coder
OR COC- Certified Outpatient Coder
OR None
TYPICAL EXPERIENCE
5 years recent relevant experience.
SKILLS AND KNOWLEDGE
In-depth knowledge of medical and billing terminology, common procedure terminology, healthcare common procedure coding system, and revenue codes.
Knowledge of government and/or commercial payer requirements.
Knowledge of Federal, State, and Local regulatory publications and how to access.
Knowledge/ awareness of all areas related to CDM/Charge Capture management functions in acute and non-acute settings and how they interrelate.
Knowledge of principles, methods, and techniques related to healthcare billing/collections.
Ability to develop and deliver specific service line education materials.
Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a CDM/Charge Capture function.
Well-developed process design, implementation, and improvement skills.
Accuracy, attentiveness to detail and time management skills.
Aptitude to conceptualize, plan, and implement stated goals and objectives.
Ability to work concurrently on a variety of tasks/projects in a fast paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
High-level problem identification/ mitigation/ resolution, analytical and financial skills.
Ability to develop effective working relationships/ networks within and outside the organization.
Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact, formal presentations, and group discussions.
Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, preferably Microsoft Suite and knowledge of Patient Management information system applications, preferably EPIC.
Job Shift
Days
Schedule
Full Time
Days of the Week
Monday - Friday
Weekend Requirements
None
Benefits
Yes
Unions
No
Position Status
Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $117,436.80 to $176,155.20 / annual salary
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.