Charge Review Specialist III - Certified Coder Cath Lab, EP, IR- Remote

Conifer Revenue Cycle Solutions • Frisco, TX

114d • $27 - $40 • Remote

About The Position

This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Position requires a working knowledge of CPT codes. Focus on work unit and/or service-line reconciliation processes.

Requirements

• High School graduate or equivalent required.
• Certified Coder (AAPC or AHIMA Credential) with a minimum of 3 years' recent coding experience in a healthcare environment.
• Proficient in CPT/HCPCS code assignments per coding guidelines and any applicable regulation.

Nice To Haves

• College degree.
• EPIC experience.
• Previous chart audit experience.
• Chargemaster (CDM) experience.
• National Correct Coding Initiative (NCCI) edit experience.

Responsibilities

• Ensures accurate and timely charge-capture and abstracting methodologies are in place and followed for the assigned work unit or service line.
• Reconciles charges against source documents to ensure that charges have been captured completely and accurately.
• Monitors compliance with internal standards and procedures, and reports non-compliance issues to proper authority.
• Identifies billing errors and/or omissions, working with appropriate staff/team members.
• Ensures that revisions/corrections are forwarded and incorporated in processing systems in a timely manner.
• Provides training for staff engaged in charge-capture/reconciliation activities.
• Prepares reports and provides departmental summary information to the Revenue Cycle team.
• Communicates and resolves coding/charge capture delays and challenges for all departments applicable.
• Provides subject matter expertise and proficiency to implement changes including system and process improvements.

Benefits

• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) - min of 12 days per year.
• 401k with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program, Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED