Charge Capture Representative, Medical Plaza I, 8:00a-4:30p

UofL Health•Louisville, KY

3d•Onsite

About The Position

Job Description: 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 Additional Job Description: Essential Functions 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. 8) 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. 9) 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. 10) Manages workflow in an efficient manor to meet productivity target. 11) Recognizes any medical and/or surgical inconsistencies in the intra-operative records, or logs. 12) Performs all daily Charge Reconciliation tasks to ensure timeliness and accuracy of charge capture. 13) Tracks and follows up on charge issues in a timely manner, notifying appropriate Manager or staff as needed. 14) 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. University of Louisville Hospital Core Expectations Collaboration & Teamwork: works cooperatively and collaboratively with others toward the accomplishment of shared goals . Valuing Diversity: recognizing and embracing the unique talents and contributions of others. Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers. Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results. Organizational Alignment: ability to align people, processes and organizational structure with UMC’s strategic direction. Developing Others: views people, their knowledge and capabilities as assets and provides opportunities that allow employees to continuously learn and develop. Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect. Integrity: conducts business with honesty and professional ethics. Seeks to achieve results in the best interest of the organization. Models and reinforces ethical behavior in self and others. Additional Responsibilities: Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times. Adheres to and exhibits our core values: Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality. Maintains confidentiality and protects sensitive data at all times. Adheres to organizational and department specific safety standards and guidelines. Works collaboratively and supports efforts of team members. Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.

Requirements

Must have 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.
Must be able to type 40 wpm without error.
Must have strong initiative and be able to gather and analyze information skillfully and be able to brainstorm alternative resources and directions.
Must be able to break down complex tasks into manageable parts in a systematic, detailed way and considers input from several sources.
Must be detail orientation in gathering relevant data while attending to essential details; checks work for accuracy and quality.
Must be able to problem-solve by identifying and resolving problems in a timely manner, as well as develop alternative solutions when needed.
Must be able to work independently with minimal supervision.
Must have 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.
Must have ability to read, analyze, and interpret common and industry-related documents.
Must have the ability to respond to common inquiries or complaints from patients, families, University Medical Center staff and the general public.
Must speak clearly and succinctly when speaking on the phone; good phone etiquette.
Must have ability to define problems, collect data, establish facts, and draw valid conclusions.
Must have the ability to interpret an extensive variety of instructions and deliver successful results.
Must have strong working knowledge Microsoft Office products, especially Outlook, Word and Excel.
Must have working knowledge of Windows based computer programs.
Must have the capacity to learn other relevant systems and databases, as needed.
Must have working knowledge of hospital approved scheduling module.

Responsibilities

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.
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.