ED Charging Specialist | FT | Days | Germantown

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
 

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
 

The Emergency Department Charging Specialist reviews Emergency Department records for required documentation, and generates appropriate charges timely and completely based on CPT guidelines. Ensures that charges are accurately posted to patient accounts in a timely manner. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

 

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
The Emergency Department Charging Specialist reviews Emergency Department records for required documentation, and generates appropriate charges timely and completely based on CPT guidelines. Ensures that charges are accurately posted to patient accounts in a timely manner. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Conducts analysis to ensure all Emergency Department patients are charged appropriately. Ensures timely and accurate completion and submission of appropriate charges within specified guidelines.
• Performs quality assurance of all Emergency Department records against Physician and Nursing documentation to ensure compliance with entity standard for completeness.
• Interprets medical record documentation to determine appropriate charge in conjunction with Patient Financial Services.
• Performs audits of charges to ensure all charges have been captured. Provides reports and summaries of revenue integrity activity and presents findings. Makes recommendations regarding resolutions of identified issues.
• Performs late charge reconciliation and enters late charges manually if necessary.
• Brings identified concerns to supervisor for resolution.
• Maintains proven charging skills as evidenced by periodic quality and productivity reviews. Consistently demonstrates competencies that are required to meet the standards set for charge capture.
• Utilizes multiple software applications such as EPIC, Lynx, Quantum, Ascent, Bridge and others to accumulate and analyze data.
• Performs accurate data collection and abstracting functions. Verifies that all of the abstracted data is entered accurately and efficiently.
• Maintains care, control and confidentiality of hospital medical records. Understands, applies and supports departmental/hospital policies, procedures and standards.
• Performs other job functions as assigned or requested.

Education/Formal Training Requirements

• Required - High School Diploma or Equivalent

Work Experience Requirements

• Required - Clinical in an Emergency Department setting 3-5 years
• Preferred - Data entry 3-5 years

Knowledge, Skills and Abilities

• Knowledge of Emergency Department record documentation and regulatory requirements, policies and procedures.
• Demonstrates knowledge and understanding of Charge Master, revenue codes, COT codes and APCs.
• Knowledge of medical terminology, CPT coding guidelines, DNV standards and CMS guidelines.
• Proficient in Windows-based applications, particularly Excel and Word.
• Excellent communication skills, written and oral, to all levels within the organization.
• Ability to foster and maintain good working relationships with internal and external customers including but not limited to supervisors, managers, physicians, and other departments/areas.
• Ability to work well in a multitasking environment paying close attention to details.
• Ability to work effectively and productively without close supervision and to exercise independent judgment in decision making.
• Ability to operate standard office equipment (i.e. fax machine, copy machine, etc.)
• Ability to analyze and interpret data to assist in decision making.

Supervision Provided by this Position

• There are no supervisory or lead responsibilities assigned to this job.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.