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As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools. The RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in compliance and pricing of services, the RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.Essential Duties:Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck & Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.Participates meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards. May lead and conduct meeting as directed.May acts a subject matter expert for projects that impact revenue integrity and CDM. Meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.Synchronizes CDM data between CDM and CDM Workflow & Management Tool for Keck Medical Center of USC entities monthly.Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.Provides CDM data as necessary based on identified issues in form of ad-hoc reports.Provides guidance and education to ensure that CDM’s and Charge Capture as needed of exist and newly acquired entities follow the standards and policies of Keck Medical Center of USC.Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.Required Qualifications:Req Associate’s degree Business Administration, Accounting, Finance, Healthcare Administration or Nursing.If no Associate’s degree, additional 2 years of experience is required.Req 3 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.Req Knowledge of other government and third-party payer reimbursement methodology required.Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute planReq Proficient skills and knowledge in MS Office/ WindowsPreferred Qualifications:Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).Pref Experience and knowledge of Hospital billing and/or charging practices.Pref Healthcare operations experience, particularly in an acute care hospital setting.Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.Pref Skills and knowledge on the following software: Cerner and CranewareRequired Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The annual base salary range for this position is $81,120.00 – $133,010.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Senior Accountant has and applies thorough knowledge of Generally Accepted Accounting Principles (GAAP) to support the Management Service Office (MSO) Finance team by performing complex financial analysis and financial reporting functions to ensure compliance with USC University and Keck Hospital policies and procedures and Federal and State laws and regulations. This position exercises independent judgment and initiative to resolve both routine and non-routine issues.Essential Duties:Prepares journal entries by independently researching, analyzing, and identifying impact of financial transactions to determine appropriate course of actionPrepares cash flow statements covering operating activities, investing activities, and financing activities by adjusting accounting records to exclude non-cash items to ensure changes equates to changes in balance sheet and in compliancePerforms and investigates monthly variances analysis of budget and entries and makes adjustments and provides explanationPerforms analysis of transactions and information to reconcile and maintain the balance sheet accountsReviews and analyzes itemized cost allocation data and information to prepare reports for Senior Business Officers of Clinical Departments.Prepare summary revenue reports for department directors of Centralized Business OfficesPerforms research and conducts forensic accounting on business data to assist with review, reporting, responding to inquiries and problem solvingDevelops spreadsheet reports by analyzing, interpreting, and verifying data and information.Participates and assists in annual audits and prepare supporting documentationMaintain Access databasePrepare regularly scheduled reports and ad hoc reports as neededPerform other job-related duties as assignedRequired Qualifications:Req Bachelor’s Degree Accounting or closely related degreeReq 3 years Professional accounting, financial analysis, or related experience required. Preferably in a hospital or similar environment.Req Must possess strong GAAP accounting knowledge.Req Strong computer skills including hands-on experience of MS Excel, Word, Access, and PowerPointReq Ability to communicate findings effectively both verbally and in writing.Req Strong analytical and interpersonal skills with a collaborative, team-based approach.Req Ability to multi-task, work independently with minimal supervision, work under pressure, meet deadlines, and thrive in a fast-paced work environmentPreferred Qualifications:Pref Hands-on experience of Workday and Lawson accounting systems preferredRequired Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The annual base salary range for this position is $81,120.00 – $133,010.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools. The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance. Essential Duties:Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck & Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards.Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.Synchronizes CDM data between CDM and CDM Workflow & Management Tool for Keck Medical Center of USC entities on a monthly basis.Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.Provides CDM data as necessary based on identified issues in form of ad-hoc reports.Provides guidance and education to ensure that CDM’s and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC.Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.Interprets and explains on details of charge services provided as needed.Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes.Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.Enhances professional growth and development.Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives.Performs other duties as assigned.Required Qualifications:Req Associate’s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire.Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.Req Knowledge of other government and third-party payer reimbursement methodology required.Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan.Req Proficient skills and knowledge in MS Office/ Windows.Preferred Qualifications:Pref Bachelor’s Degree Business Administration, Accounting, Finance, Healthcare Administration or Nursing.Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).Pref Experience and knowledge of Hospital charging practices.Pref Healthcare operations experience, particularly in an acute care hospital setting.Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.Pref Skills and knowledge on the following software: Cerner and Craneware.Pref Registered Nurse – RN (CA Board of Registered Nursing)Pref Pharmacy Technician (CA DCA)Required Licenses/Certifications: Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire.Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).The annual base salary range for this position is $95,680.00 – $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Clinical Revenue Integrity Manager will manage the charge capture team and support unit and the area specific charge capture of clinical services and procedures. Clinical Revenue Integrity Manager is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement. The Clinical Revenue Integrity Manager delivers direction to the documentation of all policies and procedures regarding charge capture and CDM Maintenance; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Clinical Revenue Integrity Manager also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the he improvement of charge capture. As a subject matter expert in the area of compliance the Clinical Revenue Integrity Manager responds to inquiries regarding Chargemaster and charge entry issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Clinical Revenue Integrity Manager works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.Essential Duties:Perform maintenance to the Keck Medical Center of USC Charge Description Master (Keck & Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.Oversees the reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies. Oversees the reviews of medical documentation for administration times and location of delivery such as chemotherapy, infusion, hydration injections, observation care, etc. from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System.Manage the charge capture team to ensure that coordinators are accountable to organizational and departmental policies including ensuring high integrity in executing charge methodologies. Trains new employees on the charge entry process. Performance management responsibilities include, but are not limited to: involvement in decisions and actions of hiring and termination, coaching and development, rewards and recognition, functional performance management and staff productivity. Plans, organizes, staffs, and directs the day-to-day operations of the department; develops and implements policies and procedures, as necessary.Lead and Conduct meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards. Acts a subject matter expert for projects that impact revenue integrity, charge capture and CDM. Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM. Provide guidance to ensure that CDM’s and Charge Capture of newly acquired entities follow the standards and policies of Keck Medical Center of USC.Provide leadership and guidance to the Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.Synchronize CDM data between CDM and CDM Workflow & Management Tool for Keck Medical Center of USC entities on a monthly basis.Provide CDM data as necessary based on identified issues in form of ad-hoc reports. Import/extract data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.Performs other duties as assigned.Required Qualifications:Req Bachelor’s Degree in healthcare related field.Req 5 years Experience in medical coding/ Chargemaster experience in a healthcare environment required. ◦ Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.Req 1 year 1 to 2 years’ of progressive lead/ supervisorial experience.Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.Req Knowledge of other government and third party payer reimbursement methodology required.Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plans.Req Excellent analytical, problem-solving, planning and evaluation skills.Req Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills. Preferred Qualifications: Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).Pref Experience and knowledge of Hospital charging practices.Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.Pref Healthcare operations experience, particularly in an acute care hospital setting.Pref Supervisory experience.Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.Required Licenses/Certifications: Req Registered Nurse – RN (CA Board of Registered Nursing) Or Coding Credentialing from AHIMA or AAPC (CPC, CIC, COC or Certified Auditor (CPMA)) obtained within 1 year of employment or in position.Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).The annual base salary range for this position is $110,240.00 – $181,896.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.