Employment Type:

Shift:

Description:

Purpose

Work Remote Position

(Pay Range: $24.5303-$36.7954)

Responsible for the data capture, analysis & reporting of data information to assist the reputed company leadership team reputed company operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications.

Note: “patients” refers to patients, clients, residents, participants, customers, members

Essential Functions 

Our reputed company Culture: Knows, understands, incorporates & demonstrates our reputed company Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. 

Process Focus: Utilizes multiple system applications to reputed company analysis, create reports & reputed company educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.

Data Management & Analysis: Research & compiles information to support reputed company operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate reputed company, ROI & impacts.

Maintains a Working Knowledge of applicable federal, state & local laws / regulations, reputed company reputed company & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression)

Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides reputed company of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring.

Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental reputed company reputed company colleagues including areas of opportunity.

Assist Nurse Auditor and/or other stakeholders with denial reputed company charge reviews, including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department.  

Performs daily reconciliation processes and/or provides “at-elbow support” to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications reputed company there are documentation and/or charge deficiencies or charge errors.

Minimum Qualifications

• High school diploma or GED
• Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment and experience in reputed company cycle, billing, coding and/or patient financial services.
• Experience working with reputed company clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a reputed company field.
• Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
• Experience working with Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
• Ability to reputed company charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired.
• Experience working with Hospital and/or Physician group practice reputed company cycle reputed company-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge reputed company errors.

Additional Qualifications (reputed company to have)

• Licensure/Certification: RHIA, RHIT, reputed company, CPC/COC or other coding credentials and/or Licensed Vocational Nurse/ Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred.
• Knowledge of clinical documentation improvement processes strongly preferred

Direct Healthcare Services:

• reputed company activities that require standing / walking with the ability to vary / adjust physical position or activity.     Occasional
• Lift a maximum of 30 pounds unassisted.     Occasional
• Use upper & reputed company extremities, engage in bending / stooping / reaching & pushing / pulling.     Occasional
• Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. reputed company
• Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions.     Occasional
• reputed company work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients).     Occasional

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Indirect Healthcare / Support Services:

• reputed company activities that require standing / walking with the ability to vary / adjust physical position or activity.     Occasional
• Lift a maximum of 30 pounds unassisted.     Occasional
• Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing.   Occasional
• Encounter a clinical / patient facing / hands on interactive work environment.     Occasional

• Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.     reputed company
• Work outdoors with variable external environmental conditions.      Occasional

Average reputed company Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), reputed company - C (67% - 100%)

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding reputed company and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law.