BILLING & CODING REP – Hospital Labs

Employment Type: Full time

Shift: Day Shift

Description: Come join our Laboratory team at Saint Mary’s Hospital, a member of Trinity Health Of New England! We are part of the nationwide Trinity Health family bringing compassionate care to our communities

Job Description:

This position will be responsible for the review and maintenance of the Hospital and Professional charge documents, charge capture processes for accuracy and completeness, as well as ongoing communication of changes in third-party payer and government payment rules to departmental and clinical staff. This position is responsible for facilitating proper charge capture, billing, clinical documentation practices, and CPT/HCPCS and ICD-9-CM/ICD-10 coding using the hospital’s electronic information systems and manual processes. This Person will also be responsible for weekly Kronos review and submission for all Laboratory personnel.

Top Reasons to Work at Trinity Health of New England:

Our Mission and Core Values

Great benefits and Health Insurance Coverage

Career growth and advancement potential

Award-winning Hospitals and Departments

Work Hours/Shift:

Full time 40hrs Mon-Fri days

You Will Be Responsible For:

Exceptional Patient Care: Working with electronic patient financial management and medical records information systems and manual processes

Excellent Communicator: Communication of changes in third-party payer and government payment rules to departmental and clinical staff.

Strong Educator: Review and maintenance of the Hospital and Professional charge documents, charge capture processes for accuracy and completeness.

Technical Familiarity: Facilitates proper charge capture, billing, clinical documentation practices, and CPT/HCPCS and ICD-9-CM/ICD-10 coding.Medical record review and claims auditing. Familiar with Hospital Regulatory policies.

Active Teamwork: Kronos review and submission for all Laboratory personnel.

Requirements:

Minimum HS Diploma. Preferred Associates degree.

Required certification in CCS, CCS-P, CPC, or specialty coding.

Two to five years experience in Hospital charge capture process review, medical record review, and claims auditing experience with hospital background and in working with regulatory and policy

Three years experience in hospital working with electronic patient financial management and medical records information systems and manual processes outside of these electronic systems, with significant exposure to healthcare coding/billing/reimbursement.

Strong analytical skills with attention to detail and high degree of accuracy in order to produce reports, analyses, and other detail as requested experience in reviewing medical records for medical necessity, charging and coding.

A strong understanding of HIPAA laws and requirements as they relate to review and reporting of documentation.

Knowledge of managed care and third-party payer benefits designs and reimbursement requirements.

Proficient in Microsoft Office applications including Outlook, Word, and Excel.

About Trinity Health Of New England:

Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community’s overall health at lower costs. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.

Trinity Health Of New England benefits include health insurance, adoption assistance, tuition reimbursement, paid vacation, sick time, and professional advancement just to name a few.

Employees can also take advantage of extra benefits specific to each hospital.

Step up to your potential. Write your story and apply today!

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.