Hospital Charge Specialist

Description

GENERAL SUMMARY OF DUTIES: Responsible for accurately processing hospital and office medical records and patient documentation with basic knowledge of ICD-10 and CPT coding.

REPORTS TO: Hospital Charge Entry Supervisor

RESPONSIBILITIES
Duties include but are not limited to:
- Ensures accurate processing of medical records and documentations to be submitted into the patient charts
- Reviews and analyzes patient records to determine accurate dating and sequencing of documents
- Accessing multiple hospital portals and EMRs to obtain information
- Creating, organizing and keeping track of hospital charge tickets
- Obtaining and maintain proper access to hospital portals
- Email and phone communication with hospitals, providers, and office staff to obtain information needed for processing
- Maintaining and managing interdepartmental communication within EMR system
- Scanning documents and charge tickets into the patient chart
- Cross training within department for coverage as needed
- Completes follow-ups in a timely manner
- Processes work in a timely manner and create solutions to prevent delay of document submission
- Meets or exceeds quality and productivity standards as set by the Charge Entry Manager and/or Revenue Cycle Manager
- Continues personal education by attending seminars and classes as needed
- Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes (ICD-10)
- Understands and abides by CMS and other payer guidelines in coding and billing
- Answers emails and voicemails and returns calls in a timely and efficient manner
- Completes requests for information from other AGA, LLC staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts
- Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information
- Participates in staff meetings as directed by the Charge Entry Manager and/or Revenue Cycle Manager.
- Cross trains and performs other practice functions as directed by the Charge Entry Manager and/or Revenue Cycle Manager
- Any other duties and/or special projects as assigned

REQUIRED EDUCATION, SKILLS AND EXPERIENCE
- High School Diploma or GED required
- 1-2 years of medical office experience. Basic knowledge ICD-10 and CPT Coding preferred
- Specialty clinical experience in Gastroenterology experience preferred
- Skills and knowledge of EMR software functionality and operations
- Proficiency in multiple Microsoft Office applications
- Knowledge and ability to process patient medical records

ADDITIONAL SKILLS AND EXPERIENCE
Charge Entry I must be able to:
- Provide a high level of quality patient care and customer service at all times
- Plan, prioritize, and complete multiple tasks as delegated by Revenue Cycle Manager and/or Charge Entry Manager
- Ability to work under pressure; assess, respond, and communicate issues in a timely manner
- Maintain composure and set a professional example to patients and coworkers
- Communicate clearly with patients and coworkers through the telephone, email, and in-person
- Interpret and apply clinical and non-clinical policies and procedures

PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS
Requires sitting and standing associated with a normal office environment; travel within the Metro area required.

Qualifications