ED Charging Specialist | FT | Days | Germantown

Methodist Le Bonheur Healthcare•Germantown, TN

1d•Onsite

About The Position

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South. The Emergency Department Charging Specialist reviews Emergency Department records for required documentation, and generates appropriate charges timely and completely based on CPT guidelines. Ensures that charges are accurately posted to patient accounts in a timely manner. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Emergency Department Charging Specialist reviews Emergency Department records for required documentation, and generates appropriate charges timely and completely based on CPT guidelines. Ensures that charges are accurately posted to patient accounts in a timely manner. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Requirements

Required - High School Diploma or Equivalent
Required - Clinical in an Emergency Department setting 3-5 years
Knowledge of Emergency Department record documentation and regulatory requirements, policies and procedures.
Demonstrates knowledge and understanding of Charge Master, revenue codes, COT codes and APCs.
Knowledge of medical terminology, CPT coding guidelines, DNV standards and CMS guidelines.
Proficient in Windows-based applications, particularly Excel and Word.
Excellent communication skills, written and oral, to all levels within the organization.
Ability to foster and maintain good working relationships with internal and external customers including but not limited to supervisors, managers, physicians, and other departments/areas.
Ability to work well in a multitasking environment paying close attention to details.
Ability to work effectively and productively without close supervision and to exercise independent judgment in decision making.
Ability to operate standard office equipment (i.e. fax machine, copy machine, etc.)
Ability to analyze and interpret data to assist in decision making.

Nice To Haves

Preferred - Data entry 3-5 years

Responsibilities

Conducts analysis to ensure all Emergency Department patients are charged appropriately.
Ensures timely and accurate completion and submission of appropriate charges within specified guidelines.
Performs quality assurance of all Emergency Department records against Physician and Nursing documentation to ensure compliance with entity standard for completeness.
Interprets medical record documentation to determine appropriate charge in conjunction with Patient Financial Services.
Performs audits of charges to ensure all charges have been captured.
Provides reports and summaries of revenue integrity activity and presents findings.
Makes recommendations regarding resolutions of identified issues.
Performs late charge reconciliation and enters late charges manually if necessary.
Brings identified concerns to supervisor for resolution.
Maintains proven charging skills as evidenced by periodic quality and productivity reviews.
Consistently demonstrates competencies that are required to meet the standards set for charge capture.
Utilizes multiple software applications such as EPIC, Lynx, Quantum, Ascent, Bridge and others to accumulate and analyze data.
Performs accurate data collection and abstracting functions.
Verifies that all of the abstracted data is entered accurately and efficiently.
Maintains care, control and confidentiality of hospital medical records.
Understands, applies and supports departmental/hospital policies, procedures and standards.
Performs other job functions as assigned or requested.