JOB SUMMARY

Reconciles and posts all payments received, identifies discrepancies and analyzes issues to ensure payments are posted timely.

ESSENTIAL FUNCTIONS

Responsible for reviewing and maintaining charge description master (CDM), and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements.

Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.

Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.

Resolves issues that arise from information submitted and revenue cycle issues.

Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.

NONESSENTIAL FUNCTIONS

Supports LRMC Core Values

□ Complies with all organizational policies regarding ethical business practices

□ Treat all our colleagues as valuable members of our health care team and treat one another with respect and dignity

□ Demonstrates a commitment to working collaboratively with one another

Reflects Positive Customer Service Skills

□ Treat all those we serve with compassion and kindness

□ Represents the organization in a positive and professional manner

□ Maintains a courteous, cooperative, respectful and enthusiastic attitude

□ Maintains a professional appearance at all times

□ Wears identification while on duty

Strives to Improve and Deliver High Quality Patient Care

□ Strive to foster excellence and highest standards of work performance

□ Actively participates in performance improvement and continuous quality improvement activities

□ Attends inservices, department meetings

□ Completes annual educational requirements

□ Maintains regulatory requirements

Recognizes Individual Needs and Concerns for Our Patients and Their Families

□ Updates patients, families as appropriate during wait period

□ Treats patients and their families with respect and dignity

□ Respects the values, cultures, beliefs, and traditions of others

□ Follows HIPAA regulations; Maintains patient confidentiality at all times

□ Maintains patient privacy during all aspects of care or service

Understands and Exhibits Fiscal Responsibility

□ Act with absolute honesty, integrity and fairness in the way we conduct our business

□ Reports to work on time as scheduled and ready and able to work

□ Use computerized punch time system correctly

□ Exhibits initiative and resourcefulness, uses time productively

□ Property, equipment and material resources are prudently utilized

□ Accepts accountability for departmental productivity goals

Safety

□ Strives to achieve the highest levels of safe clinical practice

□ Reports all accidents and incidents appropriately

□ Uses protective safety devices and equipment as appropriate

Other Duties as Assigned

JOB REQUIREMENTS

Minimum Education

High school diploma or equivalent required

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.