Surgical Services Billing Clerk

WVU Medicine

About The Position

Processes and reviews charging activity in respective hospital assigned areas, and reports system issues and clarification when opportunity for improvements are identified. Provides guidance to supply chain regarding items to be paid and reconciles against clinical documentation.

Requirements

High School education or equivalent.
Two years previous experience in a health care finance.
Must possess good communication skills.
Ability to work independently.
Knowledge of medical terminology.
Experience with Windows-based software.
Experience with data-entry.
Current knowledge of ICD-10 and CPT coding requirements.
Demonstrates flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster).

Nice To Haves

Certified Professional Coder (CPC) Certification or Licensed Practical Nurse (LPN) preferred.
Obtain Certified Revenue Cycle Representative (CRCR) certification within 2 years of employment.
Two years previous experience in a health care environment with hospital billing and or charging knowledge.

Responsibilities

Maintains an accurate and timely flow of charges incurred by patients in assigned area.
Picks up daily surgery and procedure records for all assigned areas after they have been logged. Validates usage and processes for payment according to work flow established by materials management.
Calculates charges as directed with hospital standard mark-up schedule and other assigned functions in key areas such as OR Room Time & Apply Room Rate based on procedure done.
Extracts & Compiles charges for regular, pharmacy, and special items used.
Completes daily audit routines including working the OR work queue for financial services to ensure appropriate codes are on claims.
Utilizes various EPIC modules daily for review accuracy such as Cupid, OP Time, and various dash boards.
Initiates new procedures or items in Lawson and EPIC with appropriate charge amounts and codes as directed in a timely and accurate fashion.
Maintains active dialogue and analyzes volume with other Hospital departments assisting with clarification for charges and adjustments.
Demonstrates ability to follow established computer down time procedures.
Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth including departmental meetings.
Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
Complies with Notices of Privacy Practices, and the Patient’s Rights and Responsibilities.
Demonstrates knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
Communicates problems hindering workflow to management in a timely manner.