CLERK DC & CHARGE ENTRY

Department: Charge Entry

FTE: 1.00
Full Time
Shift: Days

Position Summary:
Perform end-of-visit charge entry for outpatient ancillary services, clinics and professional charges. Assign ICD-9-CM diagnosis and CPT codes when written in by provider, perform daily charge to visit reconciliation, and resolves edits in Hospitals and professional services billing systems. Assist with staff and provider billing process education. Support patient discharge activity including coordination of follow-up appointments and ordering of tests. Track statistics for area and maintain productivity and timeliness standards for position. May perform other related clerical tasks as assigned. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Detailed responsibilities:
* CHARGE ENTRY - Enter facility and professional fees from charge tickets into appropriate billing systems, make corrections and ensure accuracy
* RESOLVE - Perform daily resolution of edits (errors) returned by the billing system to ensure timeliness of claims drop
* CODE - Assign preliminary codes for hospital discharge records and outpatient records for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis(es), operation(s), and procedure(s) using ICD-9-CM
* VERIFY - Compare data entered with source documents to verify the accuracy and completion
* DISCHARGE - Process patient discharge or coordinate follow-up for patients to include requesting referrals, scheduling tests or appointments, sending letters and other related activities
* CUSTOMER SERVICE - Provide information and assistance to internal and external customers; provide and ensure quality service and customer satisfaction
* EDUCATION - Assist with staff and provider billing process education
* RECORDS - Establish, maintain, process, and update files, records, and/or other documents
* ASSISTANCE - May assist other departments/clinics as requested
* PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk

Qualifications

Education:
Essential:
* High School or GED Equivalent

Experience:
Essential:
1 year directly related experience

Nonessential:
No preferred experience

Credentials:

Nonessential:
* ICD-9-CM Coding Certificate

Physical Conditions:
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment
* May work rotating shifts, holidays and weekends

Department: Patient Registration