Trinity Health Charge Capture Coding & Billing Spec, Cancer Center in Hartford, Connecticut

JOB SUMMARY

This position will be responsible for the review and maintenance of the Hospital and Professional charge documents, charge capture processes for accuracy and completeness, as well as ongoing communication of changes in third-party payer and government

payment rules to departmental and clinical staff. This position is responsible for facilitating proper charge capture, billing, clinical documentation practices, and CPT/HCPCS and ICD-9-CM/ ICD-10 coding through the use of the hospital?s electronic information systems and manual processes.

JOB QUALIFICATIONS

Bachelors degree in Finance, Health Administration, Public Health, Business Administration or a related discipline.

Required certification in CCS, CCS-P, CPC, or specialty coding.

Two to five years experience in Hospital charge capture process review, medical record review, and claims auditing experience with hospital background and in working with regulatory and policy

Three years experience in hospital working with electronic patient financial management and medical records information systems and manual processes outside of these electronic systems, with significant exposure to healthcare coding/billing/reimbursement. A strong understanding of HIPAA laws and requirements as they relate to review and reporting of documentation. Knowledge of managed care and third-party payer benefits designs and reimbursement requirements. Proficient in Microsoft Office applications including Outlook, Word, and Excel. Strong analytical skills with attention to detail and high degree of accuracy in order to produce reports, analyses, and other detail as requested experience in reviewing medical records for medical necessity, charging and coding.

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Job Number: 00114488

Location: Hartford, CT

Organization Name: Trinity Health Of New England

Facility: NESF - Saint Francis Hospital

Employment Type: Full time

Hours: 40