Charge Capture Processor

Eisenhower Health•Rancho Mirage, CA

1d•$19 - $29

About The Position

Responsible for the review, update or entry of charges to the EPIC PB/HB billing system. Updates are based on LCD, NCCI and MUE edits contained within the EPIC system to reduce denials and produce clean claims.

Requirements

High school diploma, GED or higher level degree
One (1) year in a clinic or hospital environment
Ability to communicate with all levels of management and providers
Ability to prioritize work queues and work somewhat independently
Ability to review and interpret basic provider documentation to identify necessary additions, changes or voids
Detail oriented
Experience with Internet applications, MS Word and Excel, CMS and payer portals or websites
Knowledge of medical terminology, managed care, CPT/ICD10 coding and modifier association
Knowledge of Medicare and Commercial payer LCD’s and NCCI edits and resolution process
Positive interpersonal skills
Research and analytical skills
Strong data entry and keyboarding skills
Ten key by touch and knowledge of all basic office equipment

Nice To Haves

Some college or degree
Non APC coding certificate
Medical billing experience with extensive knowledge in Physician and clinical based billing
Prior EPIC experience a plus

Responsibilities

Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Reviews assigned charge capture work queue daily including but not limited to: Filtering on priority based on high dollar and date of service, Matching E & M services to procedures, Validation of Bill area, Service provider and billing provider, Validation of New verses established patient, Validation of NDC numbers, proper quantity and administration code
Updates or validates date of injury as indicated.
Reviews documentation to ensure charge opportunities have not been missed.
Enters comment as indicated on each encounter touched.
Defers any encounter with a comment that requires coder or management review.
Updates insurance as indicated including running a current verification.
Maintains productivity standards per departmental policy.
Maintains encounter turnaround time to at or below three days .
Identifies and reports any system issues or provider trends affecting the charge capture process.
Attends coder continuing education and departmental meetings as instructed.
Enters and reconciles any manual batches as assigned.
Demonstrates team support by completing training in other positions and assisting as needed.
Performs other duties as assigned.