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Charging Specialist Coder

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Location:
Status (FT/PT): Full-Time
Shift: Day shift
Req ID: 62471

Description

The Charging Specialist is a critical member of the Revenue Cycle Team and is responsible for analyzing clinical documentation to assign observation hourly charges, ER E/M levels, infusions, injections, and procedures per departmental guidelines for administrative and facility financial purposes. 
  
This is an entry level position which may progress to a Graduate Coder or to a Coder/Abstractor position. 
 
Education/Experience/Certification:
  • Associate degree in business or healthcare related field required
  • Certification as a RHIT, RHIA, CCS, or CCA preferred
  • One-year previous experience utilizing an electronic medical record, a patient registration and/or clinical billing system is required. 

Key Competencies/Skills:

  • Demonstrated knowledge of CPT-4 and ICD-10 coding concepts and principles is preferred. 
  • One to two years’ experience in data abstraction, coding and/or clinical charging is preferred. 

Essential Duties:

  1. Analyzes medical record documentation to apply federal rules and CPT-4 coding principles to identify charges for various procedures and clinical departments (i.e., medication administration, Observation Services, Outpatient Extended Stays, and Cardiac Catheterization Lab). 
  2. Accurately identifies and enters charges in a timely manner in the patient’s STAR financial record, meeting expected quality and productivity standards. 
  3. Works closely with Utilization Management, Health Information Management, Business Office, and Charge Master colleagues to resolve patient type and other key charging issues. 
  4. Abstracts and/or edits medical record data (e.g., problem list SNOMED conversion) as required by departmental procedure.  
  5. Communicates and resolves documentation issues with nursing and/or other clinical providers as they relate to procedures and medication administration charges. 
  6. Works with leadership to report issues and identify trends that impact charging. 
  7. Maintains organized system for personal job-related reference material. 
  8. Participates in educational activities and staff meetings. 

Reports to:

Reports to the Regional Manager of Coding and Data Integrity Services. Has constant working contact with a Coding Operations Coordinator and Coding Operations Analyst. 
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