Shire Jobs

ManagerReq #:0000174034

Category:Billing/Collections/Registration

Status:Full-Time

Shift:Day

Facility:RWJ New Brunswick

Department:Perioperative Support Services

Location:

Main Hospital - New Brunswick, One Robert Wood Johnson Place, New Brunswick, NJ 08901

Job Overview:

This position is accountable for the overall accuracy and charge capture process for Perioperative Services, which includes the adult operating room, pediatric operating room, ambulatory surgery center, endoscopy center, and the soon-to-be completed Morris Cancer Hospital operating rooms. This role will oversee a team of billers and specialists to support all facets of the charge capture process. In addition, this role will partner with team members from Revenue Integrity, as well as EPIC IT, to ensure optimal workflows and capture methods are in place.

Qualifications:

Required:

• A Bachelor's of Science in Nursing.

• Familiarity with clinical billing/auditing.

Preferred:

• A Master's of Science in Nursing is preferred.

• Minimum 3 years of nursing informatics experience preferred.

• EPIC experience preferred.

Scheduling Requirements:

• Full-time

• Day

Essential Functions:

• Manage Billing Integrity for Main OR Adult, BMSCH PEDS OR, ASC, & Endoscopy, PACU and Anesthesia.

• Manage the OR Billing office: Close supervision of the billing staff including training, scheduling and ADP.

• Preference Card Management: Supports Pref. Card Coordinator-adjustments, lead Service Line Managers, Surgeons and other OR leaders in modification requirements assuring current at all times.

• Clinical Documentation Review: Maintain database of medical record corrections. Perform chart audits and follow up with appropriate staff. Collaborate with Service Line Managers to enhance nursing intra-op documentation as needed. Work with providers to make chart corrections.

• Communication/Education: In conjunction with Perioperative Nursing Education, develop and implement plans for both formal and informal documentation education for the nursing staff as needed.

• Business Operations: Managing the OR Billing Staff, including statistical reports and scheduling of the department. Coordinate file data, accuracy and modifications with OR leadership team. Collaborate with materials and Finance Revenue Cycle expert to ensure the maintenance of accurate charges.

• Daily Bill Only Validation.

• Insurance audits and RIMP report requests.

• Tissue PI quarterly reporting.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)

• Medical and Prescription Drug Insurance

• Dental and Vision Insurance

• Retirement Plans

• Short- & Long-Term Disability

• Life & Accidental Death Insurance

• Tuition Reimbursement

• Health Care/Dependent Care Flexible Spending Accounts

• Wellness Programs

• Voluntary Benefits (e.g., Pet Insurance)

• Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer