Clinical Billing Specialist - Houston, United States - MD Anderson Cancer Center

MD Anderson Cancer Center

Verified Company

Houston, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Charge Capture Posting, Review & Processing, Verification and Compliance:

75%*
Reviews all charges (inpatient, outpatient, consults, OR charges) entered by department providers on a daily basis and conducts charge reconciliations.
Verifies that diagnosis and procedure codes are accurate and complete.
Utilizes Charge Master for professional and technical fees.
Contacts provider(s) when information is missing to request posting to system.
Reviews outpatient visits, inpatient census, and postsurgical visits to insure charges are posted for all events and documentation supports charges billed.
Assists with researching diagnosis and procedure codes as necessary.
Reviews charge capture and rejection data and makes recommendations for alternate coding options.
Coordinates educational compliance, researches compliance issues and provides recommendations to improve documentation accuracy.
Creates charge sessions for Faculty and first assist cases.
Reviews all APP cases to validate first assist charges.

Data Management & Reporting, Education and Training - 20%

Runs MDA Surgical Charges report and review Op Note required elements.
Reviews PB Transaction Activity Cube and Denials Activity Cube.
Audits preoperative history and physical report and postoperative reports for Joint Commission compliance.
Works with other departments/divisions to assure all billing and collection activities are optimized.
Advises physicians and APPs regarding appropriate coding, related processes and CPT codes.
Participates in the divisional Charge Capture Efficiency Team (CCET) and supports projects from this team on an adhoc basis.

Records Management, Correspondence/Forms Completion and Processing - 5%

Sets up new electronic or paper financial files as necessary to support data needs and reporting requirements.
Organizes information for systems improvements and assists in implementation.
Composes and types memos, letters, reports, graphs, tables and charts using a personal computer, word processing and spreadsheet software. Updates, copies and distributes standard forms, lists, charts and other documents as necessary.
Requires good communication skills and the ability to organize and disseminate information in a clearly understood manner.

Other duties as assigned

Required Education:

Associate's degree in Business Administration or related field.

Required Experience:

Three years professional fee or technical billing experience in healthcare, insurance or related field. May substitute required education degree with additional years of professional billing experience on a one to one basis.

Preferred Experience/Skills:

Billing and coding experience.

Additional Information