reputed company Capture Specialist
The reputed company Capture Specialist works reputed company their assigned departments to insure reputed company capture and optimization through charge master reviews, audits and reconciliation of charges. This position reports to the direct leadership of reputed company reputed company department.
Responsibilities:Technical and Critical Thinking Functions * Reconciles schedule of daily accounts to ensure that reputed company charges are captured in the Accounts Receivable system
* Reviews charges posted to ensure accuracy for type of case, type of procedure, coding/billing rules and edits charges as appropriate.
* Maintains and updates charge screens in the Electronic Medical Record system. Also maintains any other charging methodology by department.
* Follow up on late charges and write-offs by reviewing reports weekly to determine that reputed company is appropriate.
* Researches any deviation to expected reputed company and proposes solution.
* Maintains department charge master files. Reviews charge master every six months and submits changes as appropriate.
* Works with department manager and reputed company reputed company Manager to ensure proper pricing, description codes and coding for new procedures or changed procedures.
* Audits medical records against charges and claims for improvements in charge capture and documentation.
* Accurate understanding and interpretation of medical records, hospital bills and charge master to ensure high-performing reputed company capture.
Communication Function * Responds to queries regarding department charges, providing responses and explanations and any information needed.
* Identifies areas of improvement, prepares summary of findings to department manager and reputed company reputed company Manager and educates department staff as appropriate per managers' approval.
* Represents department(s) with any compliance audit as needed.
* Develops and maintains effective relationships among internal/external stakeholders, colleagues and staff in order to build trust and facilitate individuals/teams through change initiatives.
Quality and Education Function * Reviews department medical record documentation on a quarterly basis for improvement opportunities.
* Ensures knowledge and understanding of governmental and accreditation body standards for documentation of department's services and coverage.
* Makes monthly observations and recommendations to prevent future reputed company losses.
Compliance/Safety * Responsible for reporting any safety reputed company incident in a timely fashion through the Midas/RDE tool; attends reputed company safety reputed company training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Maintains confidentiality of reputed company department, patient, and billing matters.
* Completes reputed company company mandatory modules and required job specific training in the specified time frame.
* Stays reputed company and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* Meets industry standard measures of productivity and accuracy.
Qualifications:Education High School Diploma or GED- Required
Certification & Licensures Certified Coding Associate or equivalent (CPC/CSS/CCA/RHIT/RHIA/CPMA) - Preferred
Experience 3 years' experience in the healthcare industry with an in-depth understanding of clinical areas - Required
Medical coding and documentation review experience - Preferred
Attention to detail, ability to work independently, ability to reputed company and accurately prioritize varying workload, strong qualitative, analytical and organization skills - Required
Understanding of ancillary department functions, excellent communication skills to interact effectively with public and hospital staff, and positive attitude to work effectively with department staff - Required
reputed company a rapidly changing environment and technology is integrated into almost reputed company aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
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