Sys Manager Charge Capture
The posted compensation range of $44.73 - $64.85 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Reporting to the System Director of Revenue Integrity and working in collaboration with CommonSpirit Health
Operations, this position is responsible for assistance in carrying out and monitoring the majority of the activities
related to Charge Capture activities. This position will require collaboration and consistent communication with
the System and Local Revenue Integrity leadership as well as other members of CommonSpirit Health Middle
Revenue Cycle leadership, Revenue Cycle Partners and Enterprise Executive Leadership, CFOs and CMOs.
The role leads the CommonSpirit Health Charge Capture enterprise with the goal to enhance effectiveness of
patient net revenue realization and minimize revenue leakage across the system. This involves complete capture
of patient revenue in every area that generates charges, management in relation to charging mechanisms and
triggers, ensuring clean handoffs between System leadership teams and clinical departments, denials
management, and clinical operations relations.
Responsibilities
*This is a Remote Opportunity
- Oversees the revenue charge capture system to promote its accuracy and integrity across revenuegenerating departments of the organization
- Leads maintenance and enhancement of the charge activities via the integrated Revenue Cycle
- Applications reviewing and optimizing organizational charge structures to assure that charges accurately
reflect services and supplies provided and are consistent with current industry best practices - Leads CommonSpirit Health Charge Capture initiatives
- Consults with department managers to help develop and implement policies and procedures for the
purposes of reconciling charges posted in the billing system with other source information - Identifies opportunities for charge capture improvement by implementing and analyzing the results of
routine, random audits - Develops tools for the purposes of tracking and identifying potential areas of lost revenue
- Oversees charge capture staff regarding the appropriate application of charges based on documentation.
- Reviews changes in CPT codes, HCPCS codes and revenue codes for accuracy and compliance with all
applicable billing guidelines and optimization of reimbursement - Provides support for organization’s clinical documentation improvement program in a standardized
manner and oversees the integrity of financial and clinical interfaces, while facilitating the development of
strategic system planning - Collaborates in the development of programs, initiatives, and workflows, which provide alignment with
education for internal customers to support clinical documentation guidelines - Ensures staff members are knowledgeable about revenue assurance needs and reimbursement issues
identified through audits, reviews and aggregate data analysis - Maintains knowledge of and adherence to code of conduct standards, confidentiality agreements, and the
organization-wide mission statement - Review and analysis of all Charge Capture operations and financial reports
- Ensure best practice “operations and process flows” are being adhered to and recommend changes as
necessary - Alert System Revenue Integrity Director to any issues or potential issues as it pertains to performance
from Optum 360/Conifer
Qualifications
5 years of experience with Charge Capture Required
5 years leadership experience in related field Required
Bachelor's degree in healthcare administration, finance,
business administration or related field.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.