Senior Charge Specialist

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Schedule: Full Time Monday - Friday 8-Hour or 10-Hour Shift Available

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

This position is a vital role within the Revenue Integrity Department. The goal of the revenue integrity department is to ensure accurate and timely billing across all Banner facilities. Our team culture promotes a strong support system within the team. We support career growth for all members. This team consists of two Co-Supervisors who work together to support the team and we provide a "manage up" style and are always willing to help the team any time we can.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Senior Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges , working through documentation, and ensuring that orders are accurate and ready for submittal. As a Senior Charge Specialist, you will not only work as an individual contributor and serve as additional support providing employee support, mentoring, and providing additional requests as needed. This is a great position if you are self-managed and desire a flexible schedule.

This can be a remote position if you live in or near the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY NM NV, OH, OK, OR PA, SC, TN TX, UT, VA, WA, WI, WV WY, NY

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors. Researches coding for non-standard procedures and assigns codes in accordance with nationally recognized coding guidelines and company standards.

CORE FUNCTIONS

1. Audits daily error reports in both the coding and billing system and makes corrections. Matches, corrects and codes charges that do not drop to billing. Also responsible for working daily monitoring queries that capture errors prior to billing as well as individual requests from the CBO or HIMS. As assigned shares this information with clinical charging staff.

2. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

3. Researches and assigns codes for non-standard procedures, supplies, equipment or materials.

4. Researches missing and incompatible records information supplied by medical staff, transcriptionists, suppliers and others. Assures that all appropriate items, procedures and services are recorded and appropriately billed. Acquires medical record completion as required by national coding standards.

5. Identifies opportunities for improvement in clinical documentation. Provides guidance and education for staff in billing procedures and electronic medical records usage procedures for coding and billing requirements. Maintains a current knowledge of procedural terminology requirements and provides staff with updated information on reimbursement charges and documentation requirements. As assigned, develops and provides education for physicians and staff.

6. Works with company finance and Charge Description Master (CDM) teams to develop and maintain coding and billing database information and with other point of service charging/coding staff to maintain consistency in practice. As assigned, shares this information with clinical charging staff.

7. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

8. Works independently under regular supervision. Researches complex billing issues and makes necessary corrections to achieve expected reimbursement. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on system business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over four or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in researching, reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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