Charge Correct Edit Spec MPBS

HH MedStar Health Inc. - Wheaton, MD3.7

Full-timeEstimated: $37,000 - $48,000 a year
Job Summary
Receives and analyzes all charge correction requests and processes TES edits for Medstar Health physician clinical departments and MedStar Physicians Billing Services (MPBS) accurately and efficiently. Makes certain that all edits, needed of the approximate $1 billion in charges posted to the A/R annually are completed in a timely manner. Provides feedback to the Medstar Health physician clinical departments on charge submission errors to reduce occurrences. Provides feedback through the Charge Entry Managers and/or Claims Processing Manager and Charge Entry Supervisors on erroneous correction requests.
Minimum Qualifications
High school graduation or equivalent. Associates degree preferred.

2 years charge entry and/or claims processing experience with 1 year of charge edit experience. Basic billing experience as it relates to ICD diagnosis and CT-4 coding.

No special certification, registration or licensure is required.

Knowledge, Skills & Abilities
Excellent data entry, key boarding with a minimum of 50 wpm (alpha and numeric). Strong problem solving abilities. Ability to work effectively under pressure in a deadline driven and production oriented workplace. Knowledge of spreadsheets. Good oral and written communication skills. Good interpersonal and customer service skills.
Primary Duties and Responsibilities
Analyzes charge correction requests submitted by MPBS and Medstar Health clinical departments for appropriateness of correction requests.
Collaborates with the Medstar Health clinical departments through the Charge Entry Managers and/or the Claims Processing Manager to determine the approach necessary to reduce the occurrence of errors.
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
Executes charge corrections in GE ensuring that account resolution is achieved.
Generates a daily spreadsheet to monitor the types of errors and their frequency.
Monitors submission patterns for error trends on behalf of the Claims Processing Manager, Charge Entry Managers, and Charge Entry Supervisors.
Participates in educational/professional development activities that will enhance skills needed to resolve errors in the GE and SMS systems.
Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
Performs other duties as assigned.
Researches accounts and collects necessary supporting documentation.
Resolves all correction requests accurately and timely.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.