Primary City/State:
Phoenix, Arizona
Department Name:
Revenue Integrity-Corp
Work Shift:
Day
Job Category:
Revenue Cycle
Primary Location Salary Range:
$19.23/hr - $28.84/hr, based on education & experience
In accordance with Colorado's EPEWA Equal Pay Transparency Rules.
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.
Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.
This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this 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 for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.
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 an 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.
CORE FUNCTIONS
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).
Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.
Works with other point of service charging/coding staff to maintain consistency in practice across the system.
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.
Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on 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 two 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 reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in 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 (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
