Data Coordinator II

SHIFT:

Day (United States of America)

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We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.


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 ba