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Excellent job opportunity at one of the ten largest children´s hospitals in the country.

DescriptionPhoenix Children´s Hospital is the only specialty children´s hospital in Arizona and it is poised to become one of the foremost pediatric hospitals in the nation. The hospital is home to the state´s largest group of pediatric specialists and sub-specialists. In addition, the hospital continues to evolve its clinical practices and is working with leading local and national research partners to uncover new breakthroughs in pediatric medicine. Currently a 345 bed facility, new construction plans were unveiled in October 2006 that include the building of two new patient bed towers and expansion in bed capacity and other key programs and services over the course of the next several years. In short, PCH is a growing, thriving organization where opportunities for personal development and promotion of our employees will continue in years to come. Primary Purpose: This position is responsible for facilitating proper charge capture, billing and adjudication of claims in accordance with standard billing policies and reimbursement principles, clinical documentation practices, and CPT/HCPCS and ICD-9-CM coding through the use of the hospitals electronic information systems and manual processes. QualificationsMinimum Qualifications: - Associates degree in Finance, Health Administration, Public Health, Business Administration or a related discipline.- Certification in CCS, CCS-P, RHIA, RHIT, CPC, or specialty coding- Five years experience in hospital charge capture process review, medical record review, claims auditing experience with hospital background and working with regulatory and policy compliance issues related to federal and state programs.- Three years experience in hospital working with electronic Patient Financial Management and Medical Records information systems and manual processes outside of these electronic systems.- Two to three years of experience providing charge capture related consulting service in an external healthcare consulting firm or as an external contractor.- Two years of experience in reviewing medical records for medical necessity, charging and coding Preferred Qualifications: - A strong understanding of HIPAA laws and requirements as they relate to review and reporting of documentation.- Experience in working with AMPFM- Knowledge of managed care and third party payer benefits designs and reimbursement requirements.- Nursing certification- Proficient in Microsoft Office applications including Outlook, Word and Excel.- Strong analytical skills with attention to detail and high degree of accuracy in order to produce reports, analyses and other detail as requested

As the Billing Operations Healthcare Coordinator at UT Southwestern, you will provide technical assistance regarding revenue cycle improvements, including being responsible for reviewing, detecting and appropriately reporting payment applications issues to management. Specifically, you will assist management in developing, organizing and analyzing payment applications operating results, procedures, goals and objectives. You will write policies and procedures, report quality control testing results and trends, interpret and properly account for denials from carriers, conduct staff training and work with management and/or IS department to resolve system issues related to payment applications. In addition, you will assist with system implementations/enhancements through testing and evaluation, as well as assess special transaction treatments, including payment corrections. Requirements:Requires a Bachelor's degree in Business or Health Care Administration, Accounting or related field, as well as 4 years experience in the billing, collection or adjustment of patient accounts or equivalent. Six to eight years of equivalent experience is acceptable in lieu of a degree. Self-sufficiency, strong communication skills, and experience working in a healthcare setting with Microsoft Office (Word, Excel and Access) are also required.As one of the leading academic medical centers in the world, UT Southwestern leads the way with medical breakthroughs. Here the best and brightest students are trained to become the physicians and scientists of the future by a faculty that is second to none. If you want to work with the best the world of medicine has to offer--in a caring, supportive environment that feels like home--look no further than UT Southwestern.The University of Texas Southwestern Medical Center is an Equal Opportunity Employer.Join us at UT Southwestern Medical Center in Dallas, Texas. We offer a supportive, culturally diverse environment, competitive salaries and state of Texas benefits that begin the first day of employment.