Charge Review Specialist Ii - Remote | Wfh

We are seeking a talented individual to join our team in a crucial role, ensuring accurate and efficient billing processes for complex service lines. As a Billing Specialist, you will play a vital role in capturing, documenting, and charging for services rendered by the assigned department. Your attention to detail and adherence to policies, procedures, and regulatory standards will contribute to our overall success. This is an exciting opportunity to make a significant impact while working with a diverse and dynamic team.
Essential Duties And Responsibilities
In this role, you will:
Implement accurate and timely charge-capture methodologies, ensuring consistency across relevant areas/facilities
Conduct comprehensive reconciliation of charges against source documents to verify complete and accurate capture
Monitor compliance with internal standards and procedures, promptly reporting any non-compliance issues
Collaborate with staff and team members to identify and address billing errors and omissions
Facilitate revisions and corrections in a timely manner, leveraging your strong knowledge of CPT codes
Provide training to billing data entry staff, promoting understanding of procedures and ensuring accuracy and timeliness of charges
Prepare reports and contribute to departmental summaries for the Revenue Cycle team, ensuring proper charge capture, billing, and reimbursement practices
Maintain proficiency in subject matter areas such as injection & infusion CPT coding/charging, observation, and inpatient record abstraction
Act as a subject matter expert, contributing to the implementation of changes and system improvements to prevent charging errors and omissions
Fulfill other duties as assigned, including coordinating with the CDM team/system and providing education to clients and peers
Knowledge, Skills, Abilities
To excel in this role, you should possess:
Strong knowledge of healthcare billing principles, cost accounting, and reimbursement practices
Familiarity with policies, standards, and methodologies related to charge capture, reconciliation, reporting, documentation, and compliance
Proficiency in applying published health information management coding conventions and coding guidelines
Analytical skills to identify and resolve charging and documentation discrepancies
Understanding of applicable standards and regulatory requirements, including medical/legal considerations
Working knowledge of medical terminology, abbreviations, and healthcare systems
Proficiency in using office equipment and relevant software/applications
Ability to establish and maintain effective working relationships with colleagues and stakeholders
Education / Experience
To qualify for this position, you should have:
Minimum of 3 years of recent, directly related work experience in a healthcare environment, with significant exposure to healthcare charging/coding; or completion of a recognized course of study for health information practitioners or coding specialists, along with at least one year of coding experience in an acute hospital health information management department
Proficiency in CPT/HCPCS code assignment, including familiarity with Evaluation & Management facility coding guidelines
High school graduate or equivalent; college degree preferred
Join our team and be part of an exciting and rewarding journey in the healthcare industry. We offer a supportive work environment, opportunities for growth, and the chance to make a meaningful impact on our organization and the lives of others.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
We look forward to receiving your application and discovering the exceptional skills and talents you can bring to our team!
Employment Type: Full-Time
Salary: $ 41,997.00 Per Year