DESCRIPTION OF POSITION:

• This position is responsible for the review of demographic, insurance, and medical record information for the proper entry of charges. The ideal candidate should have a solid understanding of CPT, ICD-10 and HCPCS coding, as well as solid communication skills, knowledge in medical terminology, problem solving skills and the ability to function in a fast-paced environment.

SUPERVISION: Reports directly to the Director of Revenue Management

RESPONSIBILITIES AND DUTIES:

• Accurately interprets medical records for charging purposes and enters charges timely.
• Acts as primary resource with any third party payer denials, refund request or questions as they pertain to charge entry.
• Assist with ensuring that all services are covered by insurance.
• Checks for accuracy in documentation in the hospital electronic system.
• Identifies and communicates any documentation deficiency.
• Ensures all patient visits are accounted for in a timely manner and all information is available for coders as needed to support the billing process.
• Ensures that all orders are obtained and scanned into HPF.
• Checks each patient record for poor originals. Poor images are re-scanned when needed.
• Checks daily discharge statistics to ensure receipt of all records and follows up on records not received.
• Remains up to date with any regulation changes as it pertains to the department charges.
• Works closely with the RMD dept to maintain education on the latest diagnostic and procedure coding.
• Notifies supervisor of any concerns as it relates to reimbursement of charges.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

• Graduation from High School or GED equivalent.
• One year of experience in a hospital setting.
• Functional skills with computer systems. Medical terminology.
• Demonstrated ability to communicate and interact with patients, visitors, employees, physicians. Attention to detail.
• Requires emotional stability and maturity; Must be adaptable to change, be decisive, and demonstrate foresight; Exhibits organizational and leadership ability.

Physical Demands/Work Environment

• Requires prolonged periods of sitting with a light amount of lifting of physical records/documents weighing up to 10 pounds.
• Almost 100% of time spent inside the building.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work®