Data Specialist II - General Surgery in Corpus Christi, TX

Summary:

The Data Specialist II will be responsible for reviewing data and ensuring that all charges are captured in an appropriate manner. A primary function is to ensure the accuracy and completeness of patient charges and supporting documentation to produce compliant patient billing. This position is responsible for corrections and additions of procedural charges based on clinical documentation; accurate facility observation hour charges including charge entry, reconciliation, clearing charge rejections, and clearing ABS hold accounts. The position will collaborate with Nurse Auditors, Coders, Finance, and Clinical Directors as needed. In addition, this position may also be asked to assist with other special projects related to charge capture and rebilling projects. 

Responsibilities:

• Reviews and works a list of charge capture edits for accuracy, communicates with departments on documentation, charge capture, and coding issues. Identifies patterns by department and facility, Notes any trends and identifies education opportunities, communicates with Coding, Nurse Auditors, and clinical directors as needed to ensure accurate charge capture.
• Submits charges for rebilling, including the removal of inaccurate charges and replacement of corrected charges.
• Facilitate 100% daily charge reconciliation for charges.
• Facilitate timely processing of ABS holds and rejection batches related to charges.
• Communicate regularly with clinical staff as questions arise regarding the accuracy and compliance of charge entry and documentation opportunities.
• Demonstrates a good working relationship with various clinical and non-clinical departments.
• Assures questioned charges are resolved and submitted within 72 hours.
• Responsible for identifying issues and implementing process improvements for charge accuracy.
• Continually review and update best practices for charge capture.
• Facilitate initial and ongoing training of charge capture associates.
• Other charge capture related duties as assigned.

Requirements:

Education/Skills

• High school diploma or equivalent required
• Some college courses required; degree preferred

Experience

• Three years’ experience in a clinical or related setting required
• Charge capture experience required.

Licenses, Registrations, or Certifications

• Coding certification preferred

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time