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®
