Job Summary
Job Summary: Responsible for reviewing patient charges to ensure that charges and documentation are aligned with each other. Works closely with the Medical Records staff and clinical departments.
Duties and Responsibilities
- Reviews clinical documentation to ensure all service charges are accurately captured in accordance with payer guidelines.
- Conducts charge reviews within 3 days of discharge.
- Identifies missed charge.
- Adheres to rules from regulatory bodies like Medicare and Medicaid, as well as other third-party payors.
- Conducts audits to identify missed charges, reduce errors, and find areas for improvement within the charge capture process.
- Works with various departments, such as coding, billing, and clinical care, to solve problems and improve processes.
- Reports any problems to the department manager.
- Must be familiar with the following manuals: Health Information Management Department, HIPAA.
- Willing to accept additional assignments
Professional Requirements
- Ensures that appearance and personal conduct are always professional.
- Answers the telephone in a polite and timely manner.
- Demonstrates ability to be flexible, organized, and function well in stressful situations.
- Excellent attendance record.
- Wears appropriate clothing for job functions. Wears ID badge.
- Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
- Represents the organization positively and professionally in the community.
- Maintains patient confidentiality at all times.
- Complies with all organizational policies regarding ethical business practices.