Urgent Care Charge Specialist (Full Time, Day Shift)
DescriptionJob SummaryReviews patient records in a timely manner to identify an appropriate selection of codes to accurately reflect the reason for admission, extent of care received and level of severity of illness.
Ensures that all data elements required for federal and state reporting are collected and included in the patient's demographic record.
Educates and provides consultation services to physicians, clinical staff and other medical staff in reference to documentation and coding including processes, procedures, concerns and issues.
Minimum Job Requirements3-5 years experience with physician billing, medical coding and complianceQualifications Essential Duties and Responsibilities Reviews all physician/midlevel/fellow documentation to ensure completion, authenticated and cosigned when appropriate.
Reviews nursing documentation in the Urgent Care Centers to ensure appropriate note types are selected, completed, authenticated and cosigned when appropriate.
Educates and provides consultation services to Physician, Nurses, Fellows, Medical Residents, Physician Extenders and other Medical Staff in reference to medical documentation and coding.
Educates NCHS staff on processes, procedures, concerns, and issues.
Educates medical team with regard to coding, charge capture, denial and claim filing limits.
Oversees and resolves Urgent Care Department documentation and coding issues and concerns in a timely manner.
Monitors patient specific pre-bill edits/failed claim edits to detect charge related billing issues and resolves within 2 business days of occurrence unless extensive research is required.
Recommends and participates in root cause solutions to prevent recurring pre-bill edits and failed claims.
Posts accurate pt charges to the system within 2 days to ensure timely billing to patients & third party insurers.
May exceed 2 days if MD has not dictated report.
Then, hold until completed.
Performs daily charge reconciliation and procedure appropriate for respective department.
Participates and assists in CDM review, monitors CDM use to ensure compliance and communicates results back to clinical department or Physician Practice Directors.
Reviews, monitors and updates outside coding vendor dashboard.
Assists in physician queries management and answers all questions to physicians pertaining to queries and/or pending tasks.
Updates pending issues delaying coding and rebills accounts upon completion through the new Cerner Phase 2 patient accounting software.
Serves as a liaison between Urgent Care medical staff, nurses, techs etc.
and coding vendor.
Knowledge/Skills/Abilities High school education or equivalent preferred Completion of an accredited Coding Education program or basic medical terminology class preferred Certified Professional Coder (CPC) and/or Certified Coding Specialist A- Physician preferred (CCS-P) preferred Presentation experience preferred Ability to communicate effectively in English both verbally and in writing Strong communication skills Ability to communicate clearly and courteously (verbal and written) with internal and external customers Proficiency in Microsoft Excel, Word & PowerPoint preferred Outstanding analytical and organizational skills with attention to detail Demonstrable problem solving skills Ability to maintain confidentiality of sensitive information Ability to relate cooperatively and constructively with customers and co-workers Knowledge of Anatomy, Physiology and medical terminology Good organizational skills Adaptable to frequent changes in assignments Job :
Billing/CollectionsPrimary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital CampusDepartment :
URGENT CARE ADMINISTRATION-2100-590950Job Status:
Full Time Recommended Skills Analytical Anatomy Attention To Detail Billing Certified Coding Specialist Certified Professional Coder Estimated Salary: $20 to $28 per hour based on qualifications.
Ensures that all data elements required for federal and state reporting are collected and included in the patient's demographic record.
Educates and provides consultation services to physicians, clinical staff and other medical staff in reference to documentation and coding including processes, procedures, concerns and issues.
Minimum Job Requirements3-5 years experience with physician billing, medical coding and complianceQualifications Essential Duties and Responsibilities Reviews all physician/midlevel/fellow documentation to ensure completion, authenticated and cosigned when appropriate.
Reviews nursing documentation in the Urgent Care Centers to ensure appropriate note types are selected, completed, authenticated and cosigned when appropriate.
Educates and provides consultation services to Physician, Nurses, Fellows, Medical Residents, Physician Extenders and other Medical Staff in reference to medical documentation and coding.
Educates NCHS staff on processes, procedures, concerns, and issues.
Educates medical team with regard to coding, charge capture, denial and claim filing limits.
Oversees and resolves Urgent Care Department documentation and coding issues and concerns in a timely manner.
Monitors patient specific pre-bill edits/failed claim edits to detect charge related billing issues and resolves within 2 business days of occurrence unless extensive research is required.
Recommends and participates in root cause solutions to prevent recurring pre-bill edits and failed claims.
Posts accurate pt charges to the system within 2 days to ensure timely billing to patients & third party insurers.
May exceed 2 days if MD has not dictated report.
Then, hold until completed.
Performs daily charge reconciliation and procedure appropriate for respective department.
Participates and assists in CDM review, monitors CDM use to ensure compliance and communicates results back to clinical department or Physician Practice Directors.
Reviews, monitors and updates outside coding vendor dashboard.
Assists in physician queries management and answers all questions to physicians pertaining to queries and/or pending tasks.
Updates pending issues delaying coding and rebills accounts upon completion through the new Cerner Phase 2 patient accounting software.
Serves as a liaison between Urgent Care medical staff, nurses, techs etc.
and coding vendor.
Knowledge/Skills/Abilities High school education or equivalent preferred Completion of an accredited Coding Education program or basic medical terminology class preferred Certified Professional Coder (CPC) and/or Certified Coding Specialist A- Physician preferred (CCS-P) preferred Presentation experience preferred Ability to communicate effectively in English both verbally and in writing Strong communication skills Ability to communicate clearly and courteously (verbal and written) with internal and external customers Proficiency in Microsoft Excel, Word & PowerPoint preferred Outstanding analytical and organizational skills with attention to detail Demonstrable problem solving skills Ability to maintain confidentiality of sensitive information Ability to relate cooperatively and constructively with customers and co-workers Knowledge of Anatomy, Physiology and medical terminology Good organizational skills Adaptable to frequent changes in assignments Job :
Billing/CollectionsPrimary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital CampusDepartment :
URGENT CARE ADMINISTRATION-2100-590950Job Status:
Full Time Recommended Skills Analytical Anatomy Attention To Detail Billing Certified Coding Specialist Certified Professional Coder Estimated Salary: $20 to $28 per hour based on qualifications.
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