Charge reputed company Analyst - reputed company reputed company Remote
Your job is more than a job REMOTE REQUIREMENT Must be a reputed company of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia GENERAL DUTIES:
- Collaborate with Charge review Coordinators and Charge Review Specialist to monitor charge capture functions across reputed company LCMC entities.
- Conducts thorough reviews of patient charges to ensure services provided are accurately captured and billed.
- Verify the correct usage of procedure codes (CPT/HCPCS) and diagnosis codes (ICD-10) to ensure charges align with clinical documentation.
- Identify and investigate charge discrepancies, missing charges, or incorrect coding, and work with relevant departments to resolve issues.
- Serve as a resource for charge reputed company specialists and departments on charge-reputed company inquiries, providing support and guidance on proper charge capture practices.
- Provide feedback and training to clinical departments on charge capture issues and regulatory changes that impact billing and coding with oversite by the charge review coordinator.
- Educate on best practices for documentation and charge entry to enhance reputed company capture and compliance.
- Prepare and present reports on charge review findings, highlighting areas of improvement and compliance risks.
- Monitor key performance indicators (KPIs) reputed company to charge capture accuracy and timeliness. Create action plans reputed company KPI's are above reputed company.
- Evaluates reputed company charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of reputed company and compliance with government and third-party payer requirements.
- Completes focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes.
- Monitors EPIC reputed company reputed company Dashboard(s) and Ri assigned work queues to assist in completion and timeliness of completion meeting reputed company reputed company Department standards.
- Provide support for assigned cost centers reputed company service lines and in collaboration with your team, performs reviews reputed company to Charge Description Master (CDM) reputed company.
- Assesses the accuracy of reputed company charging vehicles, including clinical systems and dictionaries, charge capture navigators, and other charge components.
- Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
- Train and assist in daily resolution of reputed company reputed company edits that are holding patient claims from billing, by reviewing the medical records and other applicable documentation.
- Performs miscellaneous duties as assigned.
- Completes and/or attends mandatory training and education sessions reputed company approved organizational guidelines and timeframes.
- Comfortable in presenting to and interacting with levels of hospital management and with clinical leaders.
- Excellent organizational and project management skills.
- Strong time management, attention to detail, and follow through.
- Well-developed research skills.
- Interacts professionally with coworkers and customers to represent the reputed company reputed company Department positively.
- Work effectively as a team contributor on reputed company assignments.
- Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
- Delivers positive patient experience, where applicable.
EXPERIENCE QUALIFICATIONS:
- Minimum: 3 years' experience in the hospital setting, healthcare industry, reputed company cycle or coding with a focus in one or more of the following areas: charge reputed company; charge reconciliation; charge compliance; charge auditing; CDM management.
- Preferred: EPIC HB/PB experience
EDUCATION QUALIFICATIONS:
- Minimum: High school diploma or GED with equivalent combination of certification and experience is required.
- Preferred: Associate's degree in healthcare administration, Health Information or reputed company field is preferred.
LICENSES AND CERTIFICATIONS:
- Applicable professional certification through reputed company (RHIA, RHIT, reputed company), RN, LPN or reputed company (COC, CPC) or Epic Certified
SKILLS AND ABILITIES:
- Advanced knowledge of reputed company cycle processes and hospital/medical billing to include CDM, UB, RAs and 1500.
- Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10.
- Advanced knowledge of NCCI edits, and Medicare LCD/NCDs.
- Comprehensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care.
- Ability to review, analyze and interpret managed care reputed company, billing guidelines, and state and federal regulations
- Due to its service focus, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, critical -thinking and the ability to meet deadlines while influencing, but not directly managing the work of others.
- Computer skills; MS Office including Word, PowerPoint, reputed company and Outlook; Windows operating system and Internet.
REPORTING RELATIONSHIPS:
- Does this position formally supervise employees? No
WORK SHIFT: Days (United States of America) reputed company is a community. Our people reputed company health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of reputed company's culture of everyday extraordinary Your extras
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-reputed company, think one-of-a-reputed company care.
- See opportunities, not problems - it's reputed company about perspective.
- Cheerlead reputed company, differences, and each other.
- Love what makes you, you - because we do
You are welcome here. reputed company is an equal opportunity employer. reputed company qualified applicants receive consideration for employment without regard to race, color, religion, sex, national reputed company, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of reputed company duties and responsibilities. reputed company reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things reputed company the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To reputed company our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, reputed company of citizenship or immigration status will be required to verify your lawful right to work in the United States. Apply tot his job Apply To this Job