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University of Southern California

Transplant Charge Specialist - Kidney Acquisition - Part Time Time 8 Hour Days (

University of Southern California, Los Angeles, California, United States, 90079


Transplant Charge Specialist - Kidney Acquisition - Part Time (8 Hour Days)

Location:

Keck Medicine of USC, Los Angeles, CaliforniaThe Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant services and Medicare cost report (MCR) requirements. This includes charge and case reviews for all potential encounters generated from transplant patients and time studies for both staff and physicians/surgeons. The TCS serves as an expert resource with comprehensive knowledge of Medicare and non-Medicare insurance and various transplant cost reporting requirements and regulations.Essential Duties:Responsible for the daily comprehensive abstraction and review of all charges under the transplant service and any identified transplant patient.Reviews and directs appropriate pre-transplant evaluation charges to the Medicare cost report client account.Ensures accuracy of transplant patients in the correct phases of transplant including donors.Reviews, analyzes, and oversees the Medicare cost report acquisition account monthly/quarterly.Provides review and expert analysis of all revenue cycle activities, expenses, and cost report related activities.Responsible for operationalizing inter-facility billing (e.g., kidney-paired donation).Responsible for overall management of time study collection process for staff, physicians, and surgeons.Function as a secondary liaison responsible for collaborating with medical and surgical directors, clinical and financial staff, and the Medicare Cost Reporting team.Responsible for co-managing the data submission requirements for all organ acquisition schedules in MCR.Perform all other duties as assigned.Required Qualifications:Bachelor's degree in a related field.1 year of experience in healthcare billing, coding, reimbursement, transplant financials, medical auditing, HIM coding, or related healthcare.Working knowledge of Medicare, Medicaid, and commercial insurance policies.Excellent computer skills including Microsoft Outlook, Word, Excel, Access, and PowerPoint.Strong knowledge of clinical terminology with the ability to navigate and abstract clinical documentation for billing analysis.Excellent verbal and written communication skills.Strong interpersonal and analytical skills.Preferred Qualifications:Master's degree or equivalent experience in hospital charge audit management.3 years of experience in healthcare billing, coding, reimbursement, transplant financials, medical auditing, HIM coding, or related healthcare.Good data visualization software skills (e.g., Tableau).Required Licenses/Certifications:Fire Life Safety Training (LA City) - Must be obtained within 30 days of hire if not already certified.The hourly rate range for this position is $25.00 - $39.69. The University of Southern California considers various factors when extending an offer of employment.Posted Date: 09/04/2024

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