Charge Review Specialist - Transplant - Days

VCU Health • Richmond, VA

1d

About The Position

The Charge Review Specialist serves as the primary reviewer of all pre and post-transplant and clinical research related charges organization-wide. The position coordinates and completes line item charge review of patient encounters in VCUHS charge systems to ensure the accuracy and completeness of charges captured for insurance and patient billing of hospital services. Using electronic platforms, the position reviews all charges, both inpatient and outpatient, that are incurred on “flagged” accounts daily to ensure that they meet proper classification and payer account eligibility requirements, determines charges/bills that are eligible for release, and directs charges to the appropriate client account for all payers. The position provides specialized support to transplant and clinical research staff, practice site compliance, and revenue cycle personnel regarding billing.

Requirements

• Minimum of two (2) years of work experience in medical billing
• Minimum of three (3) years of work experience in a customer-related service position
• Working knowledge of medical terminology and medical procedures
• Previous experience using a personal computer and various software applications, including Microsoft Office Word and Excel, e-mail, etc
• High School Diploma or equivalent
• Detail-oriented and self-motivated team player
• Daily work is handled independently
• Direction, advice, guidance are sought from management, Clinicians as necessary, and other applicable resources
• Meets deadlines in ever changing work environment
• Physical Lifting less than 20 lbs.
• Activities: Prolonged sitting, Repetitive motion
• Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
• Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change

Nice To Haves

• One of the following Certifications is Preferred: Certified Professional Coder (CPC) or Certified Outpatient Coder (COC), formerly CPC-H or, Certified Inpatient Coder (CIC) by the American Academy of Procedural Coders or, Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA)
• Three (3) years of work experience in medical environment reviewing patients records with emphasis on finance/billing
• Previous experience with protocols and/or financial/budgeting for clinical trials
• Previous experience in medical coding with emphasis on transplant
• Previous patient records review and abstraction experience
• Previous experience in medical coding
• Three (3) years of work experience in a team environment.
• Bachelor's degree in Finance, Accounting, Business/Health Administration or a related field from an accredited program or Bachelor’s Degree in Nursing

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED