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Healthcare Billing Coordinator

2 months ago

Brentwood, Tennessee, United States Ardent Health Full time

Overview:

Ardent Health Services stands as a prominent provider of healthcare solutions across various communities nationwide. With nearly 200 care facilities and 30 hospitals under its management across six states, Ardent employs around 24,000 individuals and 1,200 healthcare providers, positively impacting over 10,000 lives daily. Recognized for its exceptional workplace culture, Ardent has received accolades from Modern Healthcare's Best Places to Work list, highlighting its commitment to fostering an environment where employees feel valued and have opportunities for professional growth.

POSITION SUMMARY

This role is pivotal in ensuring that all relevant billing charges for intricate service lines are accurately captured, documented, and reimbursed for the designated department, adhering to established policies, procedures, and regulatory standards. A solid understanding of CPT codes is essential for this position, which focuses on the reconciliation processes specific to certain specialties.

Key Responsibilities:

  • Guarantee that effective and timely charge-capture methodologies are implemented and adhered to within the assigned service line, ensuring consistency across relevant areas and facilities. Reconcile charges against source documents to confirm complete and accurate capture of charges, while monitoring compliance with internal standards and reporting any discrepancies to the appropriate authority.
  • Identify billing discrepancies and omissions, collaborating with relevant staff to ensure timely revisions and corrections are integrated into processing systems. This may involve in-depth research and analysis, necessitating a strong working knowledge of CPT codes.
  • Provide training to personnel involved in billing data entry and related charge-capture activities, ensuring that procedures are comprehensively understood and that charges are recorded in a timely, accurate, and complete manner.
  • Act as a subject matter expert to facilitate changes and system enhancements that mitigate charging errors and omissions, while also contributing to the maintenance of clinical charging systems.
  • Perform additional duties as assigned, including managing edits/holds, coordinating with the CDM team/system, and providing education to clients and peers.
  • Serve as a liaison to Market-level Credentialing Departments and oversee Provider Credentialing within the billing system.
  • Function as the Point of Contact and Administrator for Payer Websites, assisting all markets and clinic staff with access to payer portals.
  • Support clinical and financial staff regarding charge utilization, investigating and resolving compliance and charge-related issues in collaboration with Operations to identify workflow improvements.
  • Address errors identified through the Epic work queues related to charge capture.
  • Perform other duties as assigned, including managing edits/holds, coordinating with the CDM team/system, and providing education to clients and peers.

Qualifications:

Education and Experience:

  • High School diploma or equivalent is required.
  • A minimum of three years of relevant experience in a healthcare setting with substantial exposure to healthcare billing and coding, or completion of a recognized program for health information practitioners or coding specialists, along with one year of coding experience in an acute hospital health information management department.
  • Recent experience with Epic systems is preferred.

Knowledge, Skills & Abilities:

  • Proficient in CPT/HCPCS and Diagnosis coding.