KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.
Working knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.
Working 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.
Working knowledge of CMS guidelines
Ability to recognize research and correct charging/documentation discrepancies.
Working knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.
Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
Ability to establish and maintain effective working relationships as required by the duties of the position.
Working knowledge of CPT/HCPCS codes, revenue codes
Ability to interpret a variety of state and federal regulations and determine effect on CDM and claims production
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
High School graduate or equivalent required.
Experience Required: 3-5 years of healthcare-related experience
College degree preferred.
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, COC, CPC, CCS highly desirable
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Ability to travel*
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Conifer Health Solutions
Tenet Healthcare Corporation