Charge Entry Clerk, Emergency Department, University of Louisville Hospital, Days, Full Time

Job Summary:

The Clinical Documentation and Billing Administrative Support Specialist works in collaboration with the Clinical Documentation and Billing Charge Nurse. He/She performs various duties insuring medical record documentation is appropriate for accurate coding, billing, and APC/DRG assignment. This position performs concurrent & retrospective reviews of simple outpatient, urgent care, ER, and EPS medical record issues, concurrent physician inquiries and interacts with the medical staff and other caregivers in an effort to assure complete and accurate documentation of the patient's clinical assessment and the treatment provided. The Clinical Documentation and Billing Administrative Support Specialist obtains and promotes appropriate clinical documentation through interaction with physicians, nursing staff, other patient caregiver and coding staff to ensure that the documentation of the level of service rendered to the patient and the patient's clinical complexity is complete and accurate. The Clinical Documentation and Billing Administrative Support Specialist will enter all leveling charges for non-complex patients within 48 hours of service delivered and will deliver outstanding service to our internal and external customers by maximizing communication and partnering with peers and customers.

Essential Duties:

Will export daily reports from T system and Net Access to ensure all patients registered have a level charge entered.

Comprehends the Department's Charge Master and Coding Compliance Plan. Brings identified concerns to Clinical Documentation and Billing Charge Nurse for resolution. Also abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.

With training and in collaboration with the Clinical Documentation and Billing Charge Nurse will conduct systematic, continuous and comprehensive assessments of non-complex outpatient patient health records from admission or encounter to discharge across the care continuum to ensure documentation is present and precise to improve facility level charging and coding.

Enters facility leveling charges in a timely and accurate manner, compliant with regulations.

Prepares reports by gathering and analyzing data including using tools provided by consults.

Tracks data and provides real-time feedback for documentation correction.

Maintains professional competency through continuing education and professional activities. Demonstrates valuing life-long learning.

Demonstrates professional conduct and appearance, and is accountable for actions and outcomes.

Orients new members of the healthcare team.

Fully competent in all computer applications as required by position.

Performs duties in a cost-effective manner, striving to avoid wasting hospital resources without jeopardizing quality of care and service.

Participates in performance improvement activities; quality improvement and patient safety activities; assists in maintaining compliance with JCAHO accreditation and other internal and external regulatory standards including the code of conduct.

Other duties as assigned.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills of personal so classified.

Will export daily reports from T system and Net Access to ensure all patients registered have a level charge entered.

Comprehends the Department's Charge Master and Coding Compliance Plan. Brings identified concerns to Clinical Documentation and Billing Charge Nurse for resolution. Also abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.

With training and in collaboration with the Clinical Documentation and Billing Charge Nurse will conduct systematic, continuous and comprehensive assessments of non-complex outpatient patient health records from admission or encounter to discharge across the care continuum to ensure documentation is present and precise to improve facility level charging and coding.

Enters facility leveling charges in a timely and accurate manner, compliant with regulations.

Prepares reports by gathering and analyzing data including using tools provided by consults.

Tracks data and provides real-time feedback for documentation correction.

Maintains professional competency through continuing education and professional activities. Demonstrates valuing life-long learning.

Demonstrates professional conduct and appearance, and is accountable for actions and outcomes.

Orients new members of the healthcare team.

Fully competent in all computer applications as required by position.

Performs duties in a cost-effective manner, striving to avoid wasting hospital resources without jeopardizing quality of care and service.

Participates in performance improvement activities; quality improvement and patient safety activities; assists in maintaining compliance with JCAHO accreditation and other internal and external regulatory standards including the code of conduct.

Other duties as assigned.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills of personal so classified.

Will export daily reports from T system and Net Access to ensure all patients registered have a level charge entered.

Comprehends the Department's Charge Master and Coding Compliance Plan. Brings identified concerns to Clinical Documentation and Billing Charge Nurse for resolution. Also abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.

With training and in collaboration with the Clinical Documentation and Billing Charge Nurse will conduct systematic, continuous and comprehensive assessments of non-complex outpatient patient health records from admission or encounter to discharge across the care continuum to ensure documentation is present and precise to improve facility level charging and coding.

Enters facility leveling charges in a timely and accurate manner, compliant with regulations.

Prepares reports by gathering and analyzing data including using tools provided by consults.

Tracks data and provides real-time feedback for documentation correction.

Maintains professional competency through continuing education and professional activities. Demonstrates valuing life-long learning.

Demonstrates professional conduct and appearance, and is accountable for actions and outcomes.

Orients new members of the healthcare team.

Fully competent in all computer applications as required by position.

Performs duties in a cost-effective manner, striving to avoid wasting hospital resources without jeopardizing quality of care and service.

Participates in performance improvement activities; quality improvement and patient safety activities; assists in maintaining compliance with JCAHO accreditation and other internal and external regulatory standards including the code of conduct.

Other duties as assigned.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills of personal so classified.

EDUCATION & TRAINING:

High School diploma or equivalent. Some college preferred.

EXPERIENCE:

Excellent administrative skills to include experience with clinical documentation systems and clinical billing systems. Knowledge of medical terminology and/or human anatomy and physiology. Medical insurance billing or claims processing experience strongly preferred.

LICENSE & CERTIFICATION:

N/A

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:

Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.

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

Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.

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 supports efforts of team members

* Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

Catholic Health Initiatives and its organizations are Equal Opportunity Employers/CBKYONE