Revenue Liaison
Cleveland Clinic Abu Dhabi - Abu Dhabi
Job description
Job Summary
This position is responsible for performing proper charge review/reconciliation, identifying clinical documentation issues, and liaising with the
coding department and clinical service areas to ensure accurate charges are on each Inpatient and Day Case claim on a day to day basis.
Primary Duties and Responsibilities
Responsible for ensuring that all billing charges are reconciled with coding determinations in an appropriate manner via charge review/reconciliation work queues.
Assists on special charge capture projects as well as resubmission or coding review initiatives.
Updates charge information within Patient Accounting System based on HIM coding results.
Assists with HCPCS to item master mapping.
Performs other duties as assigned.
This position is responsible for performing proper charge review/reconciliation, identifying clinical documentation issues, and liaising with the
coding department and clinical service areas to ensure accurate charges are on each Inpatient and Day Case claim on a day to day basis.
Primary Duties and Responsibilities
Responsible for ensuring that all billing charges are reconciled with coding determinations in an appropriate manner via charge review/reconciliation work queues.
Assists on special charge capture projects as well as resubmission or coding review initiatives.
Updates charge information within Patient Accounting System based on HIM coding results.
Assists with HCPCS to item master mapping.
Performs other duties as assigned.
Desired Skills and Experience
Experience Requirements
Minimum of 2 years of experience is required; facility charge capture process review, charge process auditing and reporting, medical record review, claims auditing experience is preferred.
Uses and knowledge of ICD 9, CPT4, HCPCS coding is required.
Audit experience with a working knowledge of hospital policies and procedures
Special knowledge of medical terminology, understanding of the composition of a medical record and the ability to read and interpret it is required.
Knowledge of hospital's charging and reimbursement as well as HAAD adjudication rules.
Ability to speak and write in English is required.
Ability to speak and write in Arabic is preferred.
Strong oral and written communications skill.
Excellent interpersonal skills and experience interacting with clinical teams and other revenue cycle departments.
Fully embraces the culture of CCAD and the Patient’s First values.
Education Requirements
Bachelor’s Degree in Health Information Management or other related healthcare field is required.
In the absence of a Bachelor’s Degree mentioned above, and equivalent experience of four (4) years working in the same capacity in a hospital or clinic will be considered.
CCS coding certification strongly preferred.
Minimum of 2 years of experience is required; facility charge capture process review, charge process auditing and reporting, medical record review, claims auditing experience is preferred.
Uses and knowledge of ICD 9, CPT4, HCPCS coding is required.
Audit experience with a working knowledge of hospital policies and procedures
Special knowledge of medical terminology, understanding of the composition of a medical record and the ability to read and interpret it is required.
Knowledge of hospital's charging and reimbursement as well as HAAD adjudication rules.
Ability to speak and write in English is required.
Ability to speak and write in Arabic is preferred.
Strong oral and written communications skill.
Excellent interpersonal skills and experience interacting with clinical teams and other revenue cycle departments.
Fully embraces the culture of CCAD and the Patient’s First values.
Education Requirements
Bachelor’s Degree in Health Information Management or other related healthcare field is required.
In the absence of a Bachelor’s Degree mentioned above, and equivalent experience of four (4) years working in the same capacity in a hospital or clinic will be considered.
CCS coding certification strongly preferred.
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