JOB DETAILS Department:
Revenue Integrity FTE: 1.00 (80 hours per pay period) Workdays: Monday - Friday Shift(s): Days Shift Length: 8 hours Location: Remote* *Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.
Purpose of this position: Responsible for ensuring complete charge capture for services provided; i ncluding, but not limited to: daily charge reconciliation assistance, audits, data entry and missing charge follow-up, assisting with chargemaster maintenance and establishing procedures to support above.
RESPONSIBILITIES:
Understands chargemaster setup and assists in the review and maintenance of the chargemaster
Maintains basic knowledge of CPT/HCPCS coding and revenue codes
Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges
Audits billing process to ensure reasonableness and accuracy of information and charges.
Distributes communication on charge-related issues to the proper department(s)
Provides input to team and leadership regarding deficits in documentation which affect accurate charges
Assists with account fixes and resolves incomplete charging information as appropriate
Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits
Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities
Trains, monitors and supports charge reconciliation processes in clinical areas
Assists in the development and implementation of recommendations and actions plans to minimize late or missing charges
Collaborates with other departments to identify/fix errors and improve denial rates for charges
Performs other duties as assigned
QUALIFICATIONS Minimum Qualifications:
Post high school education
At least 1 year of prior chargemaster, billing and/or coding experience
OR-
An approved equivalent combination of education and experience
Preferred Qualifications:
Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
Registered Health Information Technician(RHIT) or Registered Health Information Administrator(RHIA) and/or Clinical Coding Specialist(CCS) or Certified Professional Coder (CPC)
Knowledge/ Skills/ Abilities:
Knowledge of CPT, HCPCS, and revenue codes
Knowledge of medical terminology
Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment
Prioritization skills, PC skills, communication skills, and problem-solving skills
Outstanding customer service skills
Experience with Microsoft Office(Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
Epic experience preferred
