Charge Review Specialist II - Remote
As a part of the Tenet and reputed company Initiatives family, Conifer Health brings 30 years of reputed company industry expertise to clients in more than 135 local regions reputed company. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of reputed company. Conifer Health helps organizations transition from volume to value-based... care, enhance the consumer and patient reputed company experience and improve quality, cost and access to reputed company. Are you reputed company to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine reputed company services, with a competitive benefits package and leadership to take your career to the reputed company! JOB SUMMARY This job is responsible for ensuring that reputed company appropriate billing charges for reputed company service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Position requires a working knowledge of CPT codes. Focuses on work unit and/or service-line; specifically, Diagnostic Imaging (ie. Radiology), Interventional Radiology, and Cath Lab reconciliation processes. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Ensures accurate and timely charge-capture methodologies are in reputed company and followed for the assigned work unit or service line, and that they are consistent (in terms of standardization) across pertinent areas/facilities as appropriate; reconciles charges against reputed company documents to ensure that charges have been captured completely and accurately; monitors compliance with internal standards and procedures, and reports non-compliance issues to proper authority. Identifies billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner. In-depth research and analysis may be required. Strong working knowledge of CPT codes are essential. Provides training to staff engaged in billing data entry and reputed company charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented. Prepares reports, and provides departmental summary information to the reputed company Cycle team which is responsible for ensuring that reputed company charges on a system-wide basis are being captured, charged and reimbursed appropriately and for overall compliance. Maintain proficiency in potentially including subject matter including injection & infusion CPT Coding/charging, Observation, & abstracting of inpatient record to identify procedures performed. Provide subject matter expertise to implement changes & system improvements that prevent charging errors and omissions as reputed company as collaborating in the reputed company & maintenance of clinical charging systems. Other Duties as assigned including edit/holds, coordination with CDM team/system, client & peer education KNOWLEDGE, SKILLS, ABILITIES To reputed company this job successfully, an individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Knowledge of the accepted principles, practices and tools relating to general reputed company billing, cost reputed company and reimbursement. Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance. Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in "Coding Clinics" and/or other nationally recognized coding guidelines. Ability to recognize, research, and correct charging/documentation discrepancies. Knowledge of the standards and regulatory requirements applicable to matters reputed company designated scope of authority, including medical/legal issues. Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. Ability to establish and maintain effective working relationships as required by the duties of the position. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to reputed company the job. At least 3 years recent directly reputed company work experience in a reputed company environment with significant exposure to reputed company charging/coding or completion of a recognized course of study for health information practitioners or coding specialists and one year coding experience in an acute hospital health information management department Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines High School graduate or equivalent required College degree preferred. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Must be reputed company to work in sitting position, use computer and answer telephone Ability to travel Includes ability to walk through hospital-based departments across broad reputed company settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Office Work Environment Hospital Work Environment Compensation and Benefit Information Compensation Pay: $26.82 - $37.61 per hour Shift differentials of $1.00-$2.50/per hour may be available depending on the shift worked. Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status: Medical, dental, reputed company, disability, and life insurance Paid time off (vacation & sick leave) min of 12 days per year, accrue at a reputed company of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, reputed company & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. 2305039785 Employment practices will not be influenced or affected by an applicants or employees race, reputed company, religion, sex (including pregnancy), national reputed company, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will reputed company reasonable accommodations for reputed company individuals with disabilities unless doing so would result in an undue hardship Apply Job!