REIMBURSEMENT SPECIALIST - MEDICAL RECORDS

Aultman Health Foundation - Canton, OH

Posted: 3/25/2024 - Expires: 6/23/2024

Job ID: 271492396

Report this job

Apply Now

Save to My Profile

Job Description

Req# 28584

Aultman Health Foundation, CANTON, OH

AULTMAN HOSPITAL

Aultman Health Foundation

Full Time, Day Shift, 7-3:30

Position Summary

This team does the following for both Aultman Hospital and Aultman Orrville Hospital:

The clinical charge capture team is responsible for the review of all outpatient observation, and inpatient to calculate and capture all documented observation hours according to current CMS guidelines and all drug administration/infusion charges according to coding guidelines. This team also charges ER levels and procedures on admitted ER visits. (to either obv or inpatient) Also, manual charge posting for various ancillary departments. The team is responsible for obtaining optimal revenue while maintaining compliance with all regulations. The position requires knowledge of; charge capture and flow processes, charging information systems, coding and reimbursement regulations.

Primary Responsibilities & Requirements

Review all clinical documentation daily for observation, inpatient, ED admits, ED to CPC and ED to OBV cases
Identify and correct all registration errors regarding account status
Manual charge posting for ancillary departments
Post charges in MPAC and or Cerner systems
Assist manager with communication regarding clinical documentation in relation to charge capture.
Understand and maintain a current knowledge of all regulations regarding observation billing and reimbursement.
Maintain productivity and quality standards
Maintain attendance (including tardiness) in accordance with departmental standards
Complete safety evaluation, JCAHO Education, TB Testing, Confidentiality, Information Systems usage and HIPAA/Corporate Compliance notification on an annual basis
Exhibit accepted level of Teamwork and RESPECT
Accept change as needed to meet departmental goals
Prepare or assist with other projects/duties as assigned

Desired Job Qualifications/Skill Sets

Billing or coding experience in a physician office or outpatient hospital setting helpful
Experience in hospital reimbursement, revenue audits or charge capture helpful
Knowledge of current Medicare and other regulatory billing guidelines
Ability to manage multiple demands from a variety of constituents
Solid computer skills (Excel, PowerPoint, Access, internet, Medipac, MedAssets, Cerner)
Health information or nursing professional helpful
Pays close attention to detail and presentation
Effective communicator
CCS, CCSP or Coding Certificate helpful

Aultman Health Foundation is an Equal Opportunity Employer (EOE) that values and respects the importance of a diverse and inclusive workforce. It is the policy of the company to recruit, hire, train and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, protected veteran status or disability. We recognize that diversity and inclusion is a driving force in the success of our company. Aultman is an Equal Opportunity Employer that will make reasonable accommodation to enable individuals with disabilities to apply and compete for employment opportunities for which they are qualified. To request an accommodation, please email our Human Resources department at hr@aultman.com , or call 330-363-5415 for further assistance.

See all jobs from this company

Job Summary

Employment Type:: Full Time Employee
Job type:: Federal Contractor
Skill Based Partner:: No
Education Level:: No school grade completed
Work Days:: Mon, Tue, Wed, Thu, Fri
Job Reference Code: 78719479
Salary: N/A
Licenses / Certifications:: N/A; Applied Math: 4; Graphic Literacy: 4; Workplace Documentation: 3

Search

REIMBURSEMENT SPECIALIST - MEDICAL RECORDS

Aultman Health Foundation - Canton, OH

Job Description

Job Summary