Providence Health & Services Revenue Capture Coordinator in Irvine, California
Providence St. Joseph Health is calling a Revenue Capture Coordinator. This is a full-time, remote work position.
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We are seeking a Revenue Capture Coordinator who will assume the responsibility for the accurate and timely input of patient charges into the patient accounting system for multiple PSJH hospitals.
In this position you will have the following responsibilities:
Reviews department clinical documentation from multiple sources and enters hospital charges accurately, timely, and in accordance with PSJH Charge Capture policies/guidelines, into Patient Accounting system (Meditech) for various hospitals.
Learns and demonstrates proficiency in using PSJH Standard charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
Learns and demonstrates understanding of CMS Medicare billing rules and regulations related to: Emergency Dept. Level charges, Observation hourly charges, outpatient Intravenous Infusion administration Charges, Emergency Dept. procedure charges, HIPAA, and Fraud and Abuse.
Performs charge reconciliation on his/her accounts; checks charges for accuracy and completeness, corrects own errors.
Follows processes to send appropriate notification to other parties such as Coding Manager, ministry Clinical Dept. Manager, PFS, Case management. For example, notifies the Coding Manager of incomplete medical records or coding questions.
Attends scheduled meetings and trainings and is accountable for what has been discussed in staff meetings.
Assists in orientation and training of new staff.
Identifies events requiring administrative review and forwards these promptly to the appropriate Department Manager/Director.
Required qualifications for this position include:
High school diploma or equivalent.
Basic Coding knowledge.
Experience in other clinical or healthcare disciplines such as previous Hospital or Medical office charge entry or medical records experience.
Preferred qualifications for this position include:
Related College or Trade school coursework.
Clinical training or Certified Coding certificate.
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence in revenue cycle systems and structures in support of our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Other Location(s): California
Req ID: 303909