Patient Charge Representative – Surgery

• Reviews, verifies, assigns and processes patient charges accurately and in a timely manner to ensure accurate revenue is recorded and costs are monitored. Enters appropriate charge codes and/or information into database and/or a computer system.
• Reviews and audits department procedure, coding and/or charges in patient charts for accuracy. Ensures physician data, procedure codes, etc., are complete and accurate, and verifies with coder if processed inappropriately.
• Reviews, analyzes and investigates discrepancies and incorrect/late charges, and makes requested and necessary changes.
• Gathers quality audit data on charge entry to assist in improving the department’s efficiency and accuracy for revenue recognition. Reports delayed coding or late charge trends.
• Maintains database, logs and/or documentation per department standards, and performs quality control as needed.
• Acts as a department resource regarding charge entry, revenue recognition and/or billing issues, and may provide training to employees. Assists the coding and billing departments with more complex issues.

Licensure, Registration, and/or Certification Required:

• None Required.

Education Required:

• High School Graduate.

Experience Required:

• Typically requires 2 years of experience in medical billing, coding or as a health care clinician.

Knowledge, Skills & Abilities Required:

• Proficient knowledge base and understanding of department specific charge entry and billing procedures.
• Working knowledge of medical terminology and of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD)-9/10 coding.
• Excellent communication and human relation skills including the ability to work collaboratively with all levels of employees in the organization.
• Strong organizational and analytical skills. Demonstrates a strong attention to detail and accuracy and an ability to manage data systematically.
• Intermediate computer skills including experience in using computer applications/software/systems.

Physical Requirements and Working Conditions:

• Exposed to a normal/clinical office environment.
• Must be able to sit majority of the workday, and stand and walk ocassionally.
• Occasionally lifts items weighing up to 10 lbs.
• Must have functional speech, vision, and hearing.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.