Charge Capture Representative, Medical Plaza I, 8a-4:30p

UofL Health•Louisville, KY

8d•Onsite

About The Position

The Charge Capture Representative is responsible for reviewing all surgical case charges and ensuring that they are accurately entered into the correct system(s). The employee will assist with auditing of cases and accounts and ensure that accurate and timely charge capture is completed on a daily basis. Auditors will ensure all cases are attached to an active, billable account number; know and follow Cerner process to resolve non-compliant accounts. Audit implant data and charges using clinical and vendor documentation when present; apply case knowledge to ensure implants are captured for tracking. Insure case charges pass from Cerner to McKesson Star billing system, applying established process for issue resolution. Perform manual bill entry, correcting or editing charges as directed or reported. Displays knowledge and complies with the National Patient Safety Goals. Implements an age appropriate plan of care in conjunction with the health care team per Scope of Service. Attends all required educational programs and completes all Learn Modules within due date. Ensures 100% of surgical cases and manual charges are accounted for and that patient information is correct for billing including clinical documentation that impacts charges. Accurately applies charge policies to meet regulatory guidelines and minimize risk to the organization. Responsible for accurate charge capture, reporting new items for adding to the database, items needing charge codes, and maintaining the implant log. Has minimal errors or omissions resulting in low revenue impact. Manages workflow in an efficient manor to meet productivity target. Recognizes any medical and/or surgical inconsistencies in the intra-operative records, or logs. Performs all daily Charge Reconciliation tasks to ensure timeliness and accuracy of charge capture. Tracks and follows up on charge issues in a timely manner, notifying appropriate Manager or staff as needed. Tracks all bill holds and releases them as soon as possible to optimize organizational cash flow. Maintains completed documents in an orderly fashion for retrieval and auditing purposes.

Requirements

Strong relationship building skills and the ability to make and use connections throughout the hospital to complete projects and maintain strong partnerships with other departments.
Ability to type 40 wpm without error.
Strong initiative and ability to gather and analyze information skillfully.
Ability to brainstorm alternative resources and directions.
Ability to break down complex tasks into manageable parts in a systematic, detailed way and considers input from several sources.
Detail orientation in gathering relevant data while attending to essential details; checks work for accuracy and quality.
Ability to problem-solve by identifying and resolving problems in a timely manner, as well as develop alternative solutions when needed.
Ability to work independently with minimal supervision.
Great flexibility and the ability to continually look for ways to make appropriate adjustments and changes – rather than identifying why things cannot be accomplished – in order to meet to the changing needs of University Medical Center.
Speak, Read and Write English.
Ability to read, analyze, and interpret common and industry-related documents.
Ability to respond to common inquiries or complaints from patients, families, University Medical Center staff and the general public.
Speak clearly and succinctly when speaking on the phone; good phone etiquette.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of instructions and deliver successful results.
Strong working knowledge Microsoft Office products, especially Outlook, Word and Excel.
Working knowledge of Windows based computer programs.
Capacity to learn other relevant systems and databases, as needed.
Working knowledge of hospital approved scheduling module.

Responsibilities

Ensure all cases are attached to an active, billable account number.
Follow Cerner process to resolve non-compliant accounts.
Audit implant data and charges using clinical and vendor documentation.
Apply case knowledge to ensure implants are captured for tracking.
Ensure case charges pass from Cerner to McKesson Star billing system, applying established process for issue resolution.
Perform manual bill entry, correcting or editing charges as directed or reported.
Comply with the National Patient Safety Goals.
Implement an age-appropriate plan of care in conjunction with the health care team per Scope of Service.
Attend all required educational programs and complete all Learn Modules within due date.
Ensure 100% of surgical cases and manual charges are accounted for and that patient information is correct for billing including clinical documentation that impacts charges.
Accurately apply charge policies to meet regulatory guidelines and minimize risk to the organization.
Report new items for adding to the database, items needing charge codes, and maintain the implant log.
Manage workflow in an efficient manner to meet productivity targets.
Recognize any medical and/or surgical inconsistencies in the intra-operative records, or logs.
Perform all daily Charge Reconciliation tasks to ensure timeliness and accuracy of charge capture.
Track and follow up on charge issues in a timely manner, notifying appropriate Manager or staff as needed.
Track all bill holds and release them as soon as possible to optimize organizational cash flow.
Maintain completed documents in an orderly fashion for retrieval and auditing purposes.
Demonstrate a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Adhere to and exhibit core values: Integrity, Excellence.
Maintain confidentiality and protect sensitive data at all times.
Adhere to organizational and department specific safety standards and guidelines.
Work collaboratively and support efforts of team members.
Demonstrate exceptional customer service and interact effectively with physicians, patients, residents, visitors, staff and the broader health care community.