Accurately enters charges into the computer system for MemorialCare providers by reviewing the charges for accuracy while maintaining satisfactory output. Maintains charge entry and/or payment batches to be aware of any batches in an unposted status.
Duties and Responsibilities:
Use established charging and coding guidelines to review office, inpatient and outpatient charges for accuracy and completeness. Review the electronic medical record as needed to confirm services rendered.
Process office, inpatient and outpatient charges into the NextGen/EPIC systems with a high level of accuracy.
Resolve charging issues following established department guidelines. Contact designated facility personnel, coder/coding manager or department assistant supervisor/manager, as needed, for resolution. Follow-up on outstanding issues in a timely manner and resolve these outstanding issues by the next month-end closing, when possible.
Meet expectations of daily workload by completing charge entry for assigned offices. When staff’s daily workload is complete, look to assist teammates with their workload. Good communication is essential to meeting this daily expectation.
Meet the month-end expectations of processing all charges for the month-end period. Staff are expected to work diligently towards meeting this goal with an emphasis on the team effort.
Address charging and coding issues by contacting the appropriate individual(s) via EMR task, fax or email following established department protocol. Outstanding issues are followed up and addressed in a timely manner.
Accurately enter charges into the NextGen/EPIC systems while meeting the department’s output standard.
Ensure charge entry accuracy by running the necessary reports and balancing batches per established department protocol. For NextGen, run and work daily reports, such as, the Encounter Mismatch report and Unapplied Payment report to identify errors in charge entry and make the necessary corrections. For EPIC batches, obtain a procedure hash total by adding up the procedure codes in the batch and matching this to the actual procedure hash total received.
Maintains charge entry or payment batches in such a manner as to be aware of any batches that remain in an unposted status. NextGen payment batches are balanced and processed on a daily basis so applied payments are reflected on the patient’s account. Problem batches are resolved in a timely fashion and posted prior to statement production. EPIC charge entry batches are balanced and processed per department guidelines.
Refers to and utilizes charging documentation to keep up-to-date on existing, new and updated charging guidelines.
Maintain assigned workload and notify manager/assistant supervisor when assistance is needed with the workload or other charge entry-related issues.
Effectively communicates with team members on where they are with the workload and actively assists the team as needed. Effectively communicates with facility contacts on charging issues and all other contacts.
Accepts additional projects or tasks as assigned by the manager.