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The major challenges of this position are to ensure that the clinical documentation is present in order to support the charges that represent the services rendered.. It is important that automated processes are implemented where appropriate.
The incumbent will review clinical documentation pertinent to procedures, analyze the degree to which it is complete in order to support the charge for the procedure, and coordinate with Revenue Integrity Leadership to develop the presentation of data captured to ensure the information is accurate and understandable.
This position will have access to proprietary information. This mandates high standards of professionalism, communication, performance, and respect for confidentiality. The incumbent will adhere to Federal and State regulation standards to assure compliance with our standard billing and charging workflows.
Decisions that must be referred to the department leader are staffing and scheduling decisions to account for business needs, prioritization of projects assigned, changes in charges used or needed, release of confidential information and expenditures.
This position does not provide patient care.
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