Primary Location:

Med Plaza One - UMC

Address:

100 E Liberty St Louisville, KY 40202

Shift:

First Shift (United States of America)

Job Description Summary:

Job Description:

The Charge capture representative is responsible for reviewing all surgical case charges and ensuring that they are accurately entered into the correct system(s). The employee will assist with auditing of cases and accounts and ensure that accurate and timely charge capture is completed on a daily basis

Additional Job Description:

Essential Functions Auditors will ensure all cases are attached to an active, billable account number; Know and follow Cerner process to resolve non-compliant accounts. Audit implant data and charges using clinical and vendor documentation when present; Apply case knowledge to ensure implants are captured for tracking. Insure case charges pass from Cerner to McKesson Star billing system, applying established process for issue resolution. Perform manual bill entry, correcting or editing charges as directed or reported. Displays knowledge and complies with the National Patient Safety Goals. Implements an age appropriate plan of care in conjunction with the health care team per Scope of Service. Attends all required educational programs and completes all Learn Modules within due date.

8)Ensures 100% of surgical cases and manual charges are accounted for and that patient information is correct for billing including clinical documentation that impacts charges.  Accurately applies charge policies to meet regulatory guidelines and minimize risk to the organization.

9)Responsible for accurate charge capture, reporting new items for adding to the database, items needing charge codes, and maintaining the implant log.  Has minimal errors or omissions resulting in low revenue impact.

10)Manages workflow in an efficient manor to meet productivity target.

11)Recognizes any medical and/or surgical inconsistencies in the intra-operative records, or logs.

12)Performs all daily Charge Reconciliation tasks to ensure timeliness and accuracy of charge capture.

13)Tracks and follows up on charge issues in a timely manner, notifying appropriate Manager or staff as needed.

14)Tracks all bill holds and releases them as soon as possible to optimize organizational cash flow. Maintains completed documents in an orderly fashion for retrieval and auditing purposes.

University of Louisville Hospital Core Expectations

Collaboration & Teamwork: works cooperatively and collaboratively with others toward the accomplishment of shared goals.

Valuing Diversity: recognizing and embracing the unique talents and contributions of others.

Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.

Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.

Organizational Alignment: ability to align people, processes and organizational structure with UMC’s strategic direction.

Developing Others: views people, their knowledge and capabilities as assets and provides opportunities that allow employees to continuously learn and develop.

Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Integrity: conducts business with honesty and professional ethics. Seeks to achieve results in the best interest of the organization. Models and reinforces ethical behavior in self and others.

 

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.

• Adheres to and exhibits our core values:

 *Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.

*Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.

• Maintains confidentiality and protects sensitive data at all times.

• Adheres to organizational and department specific safety standards and guidelines.

• Works collaboratively and support