Description
We're a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
Overview:
Performs a clinical audit of the accuracy and completeness of patient charges. The clinical charge audit is to ensure that all appropriate charges are captured per patient. Ascertains that pre-certification has been completed for all surgical patients and works collaboratively with other departments to accomplish it. Investigates surgical case denials.
Primary Aspects:
a. Verifies that appropriate charges have been documented on charge sheets and entered into computer.
b. Reviews OR log/patient record: Assures accuracy of journal log (surgical procedure, time); Performs clinical audits for accuracy and completeness of Intra-operative patient charges; Implants captured (implant log).
c. Runs specific reports for Anesthesia, OR, Ancillary departments, Finance and Administration.
d. Maintains master item files for EPIC: Procedure file; Surgeon; Staff/ Anesthesia
e. Maintains charge master: Updates CPT, DRG code information; Add/delete/changes in pricing; Medicare pass through information.
f. Investigates patient denials: Develops strategies to prevent future denials.
g. Knowledge of patient charging process.
Qualifications:
- Experience: Previous clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.
- Required Education: High school diploma or GED required
- Other: Must possess the ability to identify supplies and/or other patient charges that are associated with specific procedures and/or surgeon practices. Knowledge of implant practices and equipment usage is extremely valuable based on the high cost of these line items.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!
We're bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care – that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.
EEO/AA/Minorities/Females/Disabled/Veterans
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