Charge Review Specialist I
Vacancy expired!
As a part of the Tenet and Catholic Health Initiatives
family, Conifer Health brings 30 years of healthcare industry expertise to
clients in more than 135 local regions nationwide. We help our clients
strengthen their financial and clinical performance, serve their communities
and succeed at the business of healthcare. Conifer Health helps organizations
transition from volume to value-based care, enhance the consumer and patient
healthcare experience and improve quality, cost and access to healthcare. Are
you ready to be part of our solutions?
Welcome to the company that gives you the resources and incentives to
redefine healthcare services, with a competitive benefits package and leadership
to take your career to the next step!JOB SUMMARYThis job is responsible for ensuring all appropriate
billing charges are being captured, documented, charged and reimbursed for the
assigned department in accordance with policies and procedures, and applicable
regulatory standards and requirements. Focuses on work unit and/or service-line
reconciliation processes.ESSENTIAL DUTIES ANDRESPONSIBILITIES Includethe following. Others may be assigned.
Ensures accurate and timelycharge-capture methodologies are in place; reconciles charges against sourcedocuments to ensure that charges have been captured completely and accurately;monitors compliance with internal standards and procedures, and reportsnon-compliance issues to proper authority.
Identifies errors and/or omissions,working with appropriate staff/team members to ensure thatrevisions/corrections forwarded and incorporated in processing systems intimely manner.
Provides training to staff engaged inbilling data entry and related charge capture/ reconciliation activities toensure procedures are understood and that charges booked are timely,appropriate, accurate, complete and properly documented.
Other duties as assigned could includecoordination with CDM team/system, edits/holds, simple report generation.
KNOWLEDGE, SKILLS,ABILITIESTo perform this jobsuccessfully, an individual must be able to perform each essential dutysatisfactorily. The requirements listed below are representative of theknowledge, skill and/or ability required. Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.
Knowledge of the accepted principles,practices and tools relating to general healthcare billing, cost accounting andreimbursement.
Knowledge of policies, standards andmethodologies pertaining to charge capture and reconciliation, reporting,documentation and general compliance.
Ability to recognize, research, andcorrect charging/documentation discrepancies.
Knowledge of the standards andregulatory requirements applicable to matters within designated scope ofauthority, including medical/legal issues.
Working knowledge of medical terminologyand abbreviations, and health care nomenclature and systems.
Ability to use office equipment andautomated systems/applications/software at an acceptable level of proficiency.
Ability to establish and maintaineffective working relationships as required by the duties of the position.
EDUCATION /EXPERIENCEInclude minimumeducation, technical training, and/or experience preferred to perform the job.
One to three years recent directlyrelated work experience in a healthcare environment or
Significant exposure to healthcarerevenue cycle
High School graduate or equivalentrequired
PHYSICAL DEMANDSThe physical demandsdescribed here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Must be able to work in sitting position,use computer and answer telephone
Ability to travel
Includes ability to walk throughhospital-based departments across broad campus settings, including EmergencyDepartment environments
WORK ENVIRONMENTThe work environmentcharacteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Office Work Environment
Hospital Work Environment
Job: Conifer Health SolutionsOrganization:Title: Charge Review Specialist ILocation: TX-FriscoRequisition ID: 2005001268
Vacancy expired!