Data Coordinator

Children’s Hospital of Philadelphia•Philadelphia, PA

1d•Onsite

About The Position

Responsible for the timely and accurate data entry for all CHOPPA related services performed at both non-CHOP facilities and CHOP owned facilities as needed. The coordinator will support the functions by utilizing multiple outside hospital and payor resources to register patients seen by CHOPPA physicians and perform charge entry and/or corrections as well. The role will also be responsible for managing charge review work queues and facilitating timely and accurate resolution of charges within Epic. This position requires an understanding of physician billing relating to Medicare, Medicaid, Managed Care- HMO's and all other third-party billing, in addition to, proficiency in data entry on computerized systems.

Requirements

High School Diploma / GED
At least two (2) years experience in the medical field with some knowledge of physician billing
Computer Skills (preferably Excel, Word & Access)
Good communication skills (both verbal and written)
Typing skills

Responsibilities

Register patients seen by CHOPPA physicians at non-CHOP locations accurately and timely within the CHOP Epic system.
Use non-CHOP electronic medical record systems and payor portals to obtain accurate patient insurance and demographic information.
Assist with registration for services provided by outside hospitals as needed.
In coordination with the External Registration/Charge Entry Manager, ensure timely receipt and batching of registration requests; follow up with external providers as necessary.
Review, batch, and data-enter all services systematically.
Batch services by billing area, complete Charge Batch Headers, and verify Hash and Charge Totals.
Review Batch Proofs, system totals, and billing area information to ensure all services match patient records.
Complete charge entry accurately and timely 100% of the time.
Maintain thorough knowledge of systems and corresponding fields within the charge entry process.
Perform charge corrections in the Epic billing system.
FSC all anesthesia records and assist with case counts as needed.
Maintain reconciliation of daily and month-to-date report files by division.
Review and reconcile all daily reports with charge entry totals.
Return charge slip to original batch after entry or follow-up.
Submit all outpatient code change requests to Compliance within 24 hours of receipt.
Submit all abstracted code change requests to the Director of Abstraction and Compliance within 24 hours.
Return charges requiring additional information within 24 hours of receipt.
Contact department/abstractionist (via email) within 24 hours if the provider is not linked to the billing area.
Correct and submit charges from the work queue once corrected charge slips are returned.
Verify that all charges in the Deferred Tab have been returned to the department.
Follow up on all outstanding charge returns by emailing PARC a spreadsheet listing returns outstanding for 10+ days.
Enter all charge corrections into the charge correction log.
Enter all code change requests into the charge correction log before sending them to the appropriate party.
Enter all charges requiring additional information into the return log.
Follow up on all logs weekly and send second requests when necessary.
Notify the charge entry supervisor of any issues obtaining necessary information monthly, 100% of the time.
Support Claim Edit Work Queue (General Billing Errors) when the Registrar is absent.
Reconcile the status of accepted claims with the status of the same claims in Epic.
Identify trends or issues in claims submission runs or payors.
Assist in charge review work queue resolution as needed.
Manage and maintain charge review work queues to ensure timely and accurate issue resolution to support billing and revenue recognition.
Monitor Electronic Claims Submission Reports.
Perform all other duties as assigned.