Data Coordinator II

Children's Hospital of PhiladelphiaPhiladelphia, PA, United States

Hace más de 30 días

Tipo de contrato

A tiempo completo

A tiempo parcial

Descripción del trabajo

SHIFT :

Day (United States of America)

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

Responsible for the timely and accurate data entry for all CHOPPA related services performed at both non-CHOP facilities and CHOP owned facilities as needed. The coordinator will support the functions by utilizing multiple outside hospital and payor resources to register patients seen by CHOPPA physicians and perform charge entry and / or corrections as well. The role will also be responsible for managing charge review work queues and facilitating timely and accurate resolution of charges within Epic. This position requires an understanding of physician billing relating to Medicare, Medicaid, Managed Care- HMO's and all other third-party billing, in addition to, proficiency in data entry on computerized systems.

What you will do

Responsible for registering patients seen by CHOPPA physicians at non-CHOP locations within CHOP Epic system accurately and timely.
Utilize non-CHOP location electronic medical record systems and payor portal to obtain accurate patient insurance demographic information for registration accuracy.
In coordination with the External Registration / Charge Entry Manager, ensure receipt and batching of registration requests to ensure completion of all records. Follow-up with external providers required as needed.
Systematically review, batch and data enter all services.
Batch all services by billing area, completing Charge Batch Headers, verifying Hash and Charge Totals.
Review Batch Proofs, system totals and billing area information matching patient records to charge entry run for all services.
Complete charge entry process accurately and timely 100% of the time.
Maintain a thorough knowledge of current systems and corresponding fields within the charge entry process.
Process charge corrections.
FSC all anesthesia records, assisting with the case count as needed.
Maintain reconciliation of daily and month to date report files by division.
Review / reconcile all daily reports with charge entry totals.
Return Charge slip to original batch
Submit all code change requests, from the billing department, to Compliance for Review

Submit all outpatient code change requests to Compliance within 24 hours of receipt.

Submit all abstracted code change requests to the Director of abstraction and Compliance within 24 hours of receipt

Return Charges for additional information and follow-up

Return all charges that are missing information necessary for entry within 24 hours of receipt.

Responsible for contacting department / abstractionist (via email) if provider is not linked to billing area within 24 hours of receipt

Once the department returns the corrected charge slip, the Data Coordinator II is responsible for correcting the charge and submitting the charge from the work queue.

Return Charge Slip to original batch.

Responsible for verifying that all the charges in the Deferred Tab have been returned to the department.

Responsible for following up on all outstanding charge returns by sending out a spreadsheet, via email, to PARC listing all returns that have been outstanding for 10 or more days.

Return Charges for additional information and follow-up

Responsible for entering all charge corrections into charge correction log.

Responsible for entering all code change requests into the charge correction log before sending to appropriate party.

Responsible for entering all charges that require additional information into the return log.

Responsible for follow-up on all logs on a weekly basis, sending out 2nd requests if necessary.

Must notify charge entry supervisor of any problems with obtaining necessary information 100% of the time on a monthly basis.

Support for maintaining Claim Edit Work queue (General Billing Errors) when the Registrar is absent.

Monitor Electronic Claims Submission Reports.

Reconcile the status of accepted claims with the status of the same claims in Epic.

Identify trends and / or problems with submission runs / payors.

Assist with registration for services provided by outside hospitals as needed.

Assist in charge review work queue resolution as warranted.

Performs charge corrections in the EPIC billing system.

Verify that all charge correction requests and code change requests have all necessary backup and appropriate signatures.

Manage and maintain charge review work queues to ensure issues are resolved timely and accurately to facilitate billing activities and revenue recognition.

Others duties as assigned

Education Qualifications

High School Diploma / GED Required

Experience Qualifications

At least two (2) years Two years experience in the medical field with some knowledge of physician billing Required

Skills and Abilities

Computer Skills (preferably Excel, Word & Access)

(Required proficiency)

Good communication skills (both verbal and written) (Required proficiency)

Typing skills (Required proficiency)

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE :

$20.55 - $25.69 Hourly

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.

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