Medical Charge Entry Specialist (5232)

Company: Interpath Laboratory
Location: Pilot Rock
Posted on: January 23, 2023

Job Description:

Responsible for timely daily charge entry in accordance with billing standards and reimbursement policy and procedures. Is responsible for seeking resolution to problems relating to timely and efficient charge entry while ensuring excellent communication to ensure provider satisfaction.

Essential Duties and Responsibilities

• Enter office visit charges for assigned providers based on the pending charge from practice management system, including office visits as well as ancillary charges such as vaccines and their administration fees.
• Review Pending Charges and Encounter Resolution Reports to verify completeness and accuracy, notice anomalies and any abnormal or mismatched entries, following up with appropriate person(s) to obtain complete information.
• Append specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 code and date of injury (DOI) based on payer specifics, insurance and authorization requirements and referring physicians' unique attributes.
• Ensure timely daily resolution of any demographic and/or charges submitted lacking necessary information to allow entry.
• Reduce denials by correct use of modifiers, mapping, and linking codes with services.
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work.
• Append additional dx codes needed for HCC/RAF scoring based on the payer requirements.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements.
• Strive to achieve and maintain individual goals and benchmarks, including charge entry within 1-2 days of provider sign off.
• Contribute to achievement of team goals and benchmarks, including AR, DSO and cost as a % of receipts.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follow all established quality protocols.
• Perform other work related duties as assigned. Benefit Highlights
  • Laboratory discounts for in house testing
  • Medical with In-Network & Custom Network discounts (No cost for employee only coverage)
  • Dental (No cost for employee only coverage)
  • 401(K) with discretionary employer match
  • Paid Time Off Education and/or Experience
    • High School diploma or general equivalency diploma (GED)
    • 1-2 years medical charge entry, medical billing or related medical experience
    • Training: We offer hands on individual training with a mentoring program to continue ongoing development. We are a devoted team of professionals, working cohesively to build on our expertise as a work family since 2007. With a vibrant work culture focused on continually improving people and processes, our curiosity, persistence and positive attitudes are core strengths. We offer a comprehensive benefits package and an ever-evolving learning and development program to foster career and personal growth. We truly value our employees.
      
      Adaugeo Healthcare Solutions is part of a family owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical and management services, including:
      • Accounting and Finance
      • Billing and Accounts Receivable
      • Centralized Scheduling
      • Certified Coding
      • Clinic Administration
      • Credentialing and Privileging
      • Data Science and Business Intelligence
      • Human Resources and Payroll
      • IT Infrastructure
      • Purchasing and Materials Management
      • Quality Improvement
      • Recruiting and Sourcing
      • Software Development Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading, innovative clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, and Idaho. Our organization has over 50 years of proven success as a multi-specialty healthcare delivery system, thanks to our amazing people who contribute passion, dedication and ingenuity every day. It's because of our people that we believe in putting people first!
        
        Physical Demands: Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, sitting for extended periods of time. The employee must regularly lift and/or move up to 10 pounds, frequently life and/or move up to 25 pounds and occasionally life and/or move up to 50 pounds. Stress can be triggered by multiple staff demands and deadlines.
        
        Work Environment: Work is performed in an office environment. Involves frequent contact with staff.
        
        EOE Disabled/Veteran: Adaugeo Healthcare is an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
        
        

Keywords: Interpath Laboratory, Yakima , Medical Charge Entry Specialist (5232), Healthcare , Pilot Rock, Washington