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Charge Review Specialist

Job Category:

Healthcare / Science

Job Level:

Professional

Open Date:

26-Mar-2020

Location:

TAGUIG CITY

Close date:

25-Apr-2020

Client Industry:

SHARED SERVICES

Job Description and Qualification:

XPO_HR Job Description_Workforce Adminstration Analyst

Job Summary:

Responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with various policies and requirements.

Duties & Responsibilities:

  • Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.
  • Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.
  • Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in "Coding Clinics" and/or other nationally recognized coding guidelines.
  • Ability to recognize, research, and correct charging/documentation discrepancies.
  • Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.

Qualifications:

  • College degree preferred (Healthcare related course or any course with Training in Healthcare)
  • At least 3 years recent directly related work experience in a healthcare environment with significant exposure to healthcare charging/coding or completion of a recognized course of study for health information practitioners or coding specialists and one year coding experience in an acute hospital health information management department
  • Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines and injection/infusion administration hierarchy
  • Willing to work in Night-Shift
  • Amendable to work in BGC

Salary:

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