What are the responsibilities and job description for the ED Billing Analyst III position at OhioHealth?
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Job Description Summary
This position reports to ED/OBS Billing Analysis Manager and performs facility coding functions for ED and Observation Departments system wide. Does not hire, fire, discipline, promote, demote, transfer, or appraise staff.
Responsibilities And Duties
90%
Assigns appropriate E/M (evaluation and management) code, Observation hourly charges and CPT codes after reading all documentation contained within the electronic medical record (including but not limited to provider notes, nursing documentation, radiology reports, lab reports and consultations/operating notes) and using knowledge of correct coding guidelines as appropriate for the particular patient type and/or service while maintaining at least a 95% accuracy and productivity rate. Maintains a detailed knowledge of Observation charging rules as it relates to carve outs and specific payers. Reviews Medication Administration Record (MAR) and calculates appropriate infusion/hydration charges based on strict CMS hierarchy guidelines.
10%
In the event of missing or insufficient documentation, assigns deficiencies and/or queries to the appropriate provider(s) and follows department policies for account follow-up.
The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by the manager.
Minimum Qualifications
Bachelor's Degree (Required)
Additional Job Description
Some college preferred. Knowledge of Emergency Medicine and Observation facility billing as it relates to inpatient and outpatient accounts, critical care charging guidelines, detailed understanding of CPT-4 classification systems, medical terminology, anatomy and physiology as demonstrated by successful completion of coursework. 2- 3 Years of Experience in a hospital environment.
Work Shift
Day
Scheduled Weekly Hours
40
Department
Ed Charge Analysis
Join us!
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Remote Work Disclaimer
Positions marked as remote are only eligible for work from Ohio.
Job Description Summary
This position reports to ED/OBS Billing Analysis Manager and performs facility coding functions for ED and Observation Departments system wide. Does not hire, fire, discipline, promote, demote, transfer, or appraise staff.
Responsibilities And Duties
90%
Assigns appropriate E/M (evaluation and management) code, Observation hourly charges and CPT codes after reading all documentation contained within the electronic medical record (including but not limited to provider notes, nursing documentation, radiology reports, lab reports and consultations/operating notes) and using knowledge of correct coding guidelines as appropriate for the particular patient type and/or service while maintaining at least a 95% accuracy and productivity rate. Maintains a detailed knowledge of Observation charging rules as it relates to carve outs and specific payers. Reviews Medication Administration Record (MAR) and calculates appropriate infusion/hydration charges based on strict CMS hierarchy guidelines.
10%
In the event of missing or insufficient documentation, assigns deficiencies and/or queries to the appropriate provider(s) and follows department policies for account follow-up.
The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by the manager.
Minimum Qualifications
Bachelor's Degree (Required)
Additional Job Description
Some college preferred. Knowledge of Emergency Medicine and Observation facility billing as it relates to inpatient and outpatient accounts, critical care charging guidelines, detailed understanding of CPT-4 classification systems, medical terminology, anatomy and physiology as demonstrated by successful completion of coursework. 2- 3 Years of Experience in a hospital environment.
Work Shift
Day
Scheduled Weekly Hours
40
Department
Ed Charge Analysis
Join us!
- if your passion is to work in a caring environment
- if you believe that learning is a life-long process
- if you strive for excellence and want to be among the best in the healthcare industry
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Remote Work Disclaimer
Positions marked as remote are only eligible for work from Ohio.