Description
Find your calling at Mercy! 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. Position Details:
Education: High school diploma or GED required.
Experience: Previous clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.
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. Other skills necessary include an understanding of the entire OR patient charge process; guidelines for determining if an item is chargeable; charge data entry/integrity process; integration with patient billing. Uses correct grammar and punctuation in written documents. Write letters, plans, reports and memos that are easily understood and stated in a concise manner in keeping with the hospital standard. Past experiences have demonstrated good interpersonal skills and the ability to communicate effectively with others. Demonstrates the ability to address complex problems and pose viable solutions using logical and sound judgement. Good time utilization is necessary.
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
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