Perioperative Patient Charge Entry/Inventory Specialist
2 weeks ago
Shift
Monday - Friday, 7a-330p
Scheduled Weekly Hours
40
POSITION PURPOSE
The Charge Entry Specialist is responsible for high level review and posting of charges for assigned locations and ensuring proper usage of CDM codes and payment modifiers.
ESSENTIAL FUNCTIONS
- Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure.
- Submits charges on patient accounts in accordance with standard billing policies and clinical documentation using the hospital's IT systems, manual processes, and review of medical records.
- Responsible for the timely data entry of patient charges for all business lines within 72 hours of
date of service - Review charge ticket for completeness and accuracy in the use of CDM, CPT, ICD10, and Modifiers
- Responsible to fix any charge entry error(s) or warning(s) when applicable at the time of manual charge entry.
- Demonstrated ability to independently comprehend the clinical content of a medical record, including the most complex records.
- Evaluates potential coding and medical necessity issues identified by edits shown in the encoder and resolves issues utilizing the Uniform Hospital Discharge Data Set Guidelines, the ICD-10-CM and ICD-10-PCS Official Coding Guidelines for Coding and Reporting, and Coding Clinic guidelines to allow accurate, timely billing.
- Compares documentation in the medical record with associated specific charges in billing system (Cerner and/or Sapphire), for targeted areas, to assure compliance and charging accuracy prior to billing.
- Participates actively in the Revenue Cycle by regularly monitoring the Prebill report and completes coding in a timely manner.
- Provides assistance in chart completion activities to the Medical and Hospital staff to support timely billing and reimbursement.
- Work collaboratively with the Clinical Documentation Improvement team.
- Manage the Inventory for Operating Room and Anesthesia
- Respond to product recalls.
- Manages and educates any product conversion.
- Manages Purchase Orders non-stock supplies and places orders through the Workday Inventory System
- Cross train in Surgery Scheduling tasks and Inventory management to fill in as necessary.
- High School diploma required.
- Minimum of 3 years Perioperative Services experience required.
- Medical Supply Chain knowledge strongly preferred.
- Excel and Data Entry Preferred
- Must understand workflow processes relating to electronic health records.
- Must have strict attention to detail in all areas of the job.
Thank you for your interest in a career at CGH Medical Center.
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