JOB SUMMARY

This job is responsible for ensuring all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Reconcile charges against source documents to ensure that charges have been captured completely and accurately.
• Encounter Billing Exception Worklist coordination
• Daily Charge Error Worklist Analysis
• Review and resolve all assigned edits.
• Work with appropriate team members and clinical teams to ensure that revisions/corrections forwarded and incorporated in processing systems in timely manner.
• Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented.
• Other duties as assigned related to

EDUCATION / EXPERIENCE

• Bachelor’s degree in Health Information Management, Business Administration, or related field (or equivalent experience).
• Minimum 3-5 years of experience in revenue integrity, charge entry, coding, or billing in a healthcare setting.
• Advanced knowledge of CPT, HCPCS, ICD-10 coding, and payer reimbursement methodologies.
• Advanced experience with patient accounting systems and healthcare platforms
• Strong analytical, auditing, and problem-solving skills.
• Excellent communication and collaboration abilities.