Analysis Skills, Billing, Communication Skills, Computer Systems, Current Procedural Terminology (CPT), Demographics, Denials Management, Detail Oriented, Documentation, Healthcare Common Procedure Coding System (HCPCS), High School Diploma, Hospital, Hospital Systems, ICD-10, Insurance, Leadership, Medical Billing, Medical Coding, Medical Records, Medical Terminology, Organizational Culture, Organizational Skills, Patient Assessment, Patient Care, Problem Solving Skills, Record Keeping, Regulations, Reimbursement, Revenue Management, Statistics, Time Management
DESCRIPTION OF POSITION:
- This position is responsible for the review of demographic, insurance, and medical record information for the proper entry of charges. The ideal candidate should have a solid understanding of CPT, ICD-10 and HCPCS coding, as well as solid communication skills, knowledge in medical terminology, problem solving skills and the ability to function in a fast-paced environment.
SUPERVISION: Reports directly to the Director of Revenue Management
RESPONSIBILITIES AND DUTIES:
- Accurately interprets medical records for charging purposes and enters charges timely.
- Acts as primary resource with any third party payer denials, refund request or questions as they pertain to charge entry.
- Assist with ensuring that all services are covered by insurance.
- Checks for accuracy in documentation in the hospital electronic system.
- Identifies and communicates any documentation deficiency.
- Ensures all patient visits are accounted for in a timely manner and all information is available for coders as needed to support the billing process.
- Ensures that all orders are obtained and scanned into HPF.
- Checks each patient record for poor originals. Poor images are re-scanned when needed.
- Checks daily discharge statistics to ensure receipt of all records and follows up on records not received.
- Remains up to date with any regulation changes as it pertains to the department charges.
- Works closely with the RMD dept to maintain education on the latest diagnostic and procedure coding.
- Notifies supervisor of any concerns as it relates to reimbursement of charges.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
EDUCATION AND WORK EXPERIENCE
- Graduation from High School or GED equivalent.
- One year of experience in a hospital setting.
- Functional skills with computer systems. Medical terminology.
- Demonstrated ability to communicate and interact with patients, visitors, employees, physicians. Attention to detail.
- Requires emotional stability and maturity; Must be adaptable to change, be decisive, and demonstrate foresight; Exhibits organizational and leadership ability.
Physical Demands/Work Environment
- Requires prolonged periods of sitting with a light amount of lifting of physical records/documents weighing up to 10 pounds.
- Almost 100% of time spent inside the building.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.
Working at Lake Charles Memorial Health System | Great Place To Work®
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Lake Charles Memorial Health System