Charge Capture Specialist jobs in Saint Louis, MO

Description

Outreach Laboratory | Cape Girardeau, MO |

Performs computer and clerical functions to register and bill laboratory testing data. Registers Outreach patient specimens and records patient billing information. Accurately assigns and sequences ICD-9/ICD-10 diagnostic and CPT procedural codes to lab client requestors for reimbursement and data collection. Responsible for proper revenue reconciliation and compliant billing of services. Review of patient encounters within electronic medical records for documentation reconciliation.

Essential Duties and Responsibilities

• Clerical duties as necessary including client registration and billing.
• Codes Laboratory charges utilizing ICD-9, ICD-10, and CPT, researching and appealing denied charges with all insurance companies; meets coding quality and quantity expectations.
• Assures all charges are posted timely and accurately to patient accounts (not to exceed 5 working days under normal working conditions).
• Optimizes appropriate hospital reimbursement by applying effective charging protocols and methodologies.
• Actively utilizes available educational resources to maintain a current procedural charge structure knowledge base.
• Will assist Outreach lab and clients with charge and coding questions and appropriate modifier usage.
• Consults physicians and/or other clinicians for clarification and additional documentation prior to facility code assignments when there is conflicting or ambiguous data in health records.
• Supports the importance of accurate, complete, and consistent charging and practice for the production of quality healthcare data.
• Adheres to CPT rules established by the American Medical Association, and any other official coding reles and guidelines established for use with mandated standard code sets.
• Consistently applies coding and reimbursement rules to ensure appropriate charging of laboratory services.
• Must follow policies of release of information and confidentiality
• Performs other duties as assigned.

Qualifications/Requirements

• High School graduate or equivalent required.
• Knowledge of medical terminology and experience in healthcare related charge capture process required.
• Ability to analyze and interpret clinical documentation and data.
• Demonstrates critical thinking skills to make appropriate recommendations.
• Excellent interpersonal skills required.
• Demonstrates data entry skills, with knowledge of various software applications including spreadsheet and database.
• Ability to work independently.
• Graduate of AHIMA Coding Education program or 2 years medical coding experience preferred.