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Clinical Billing Specialist - Pathology & Laboratory Medicine

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Healthcare/Business Support
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Pathology-Lab Medicine 224800
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133431 Requisition #
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**The hours for this position are Monday - Friday 8:30am - 5:30pm. The ideal candidate will have experience with Epic work Q's, professional & technical charge capture and CPT codes.**


JOB SPECIFIC COMPETENCIES


Charge Capture, Posting, Review & Processing

Develops, implements, and monitors processes to ensure that all professional and/or technical charges are captured appropriately via electronic system (Epic HP and PB work queues, Cerner Millennium, and PowerPath)

- Reviews all charges (procedures and service codes) entered into electronic system (Epic HP and PB work queues, Cerner Millennium, and PowerPath) by department providers, (physicians) on a daily basis and conducts daily charge ticket reviews  

- Verifies that diagnosis and procedure codes are accurate and complete

- Utilizes Charge Master for professional and technical fees

- Contacts provider(s) when information is missing to request posting to system

- Ensure charges are posted for all encounters and documentation supports charges billed

- Assists with researching diagnosis and procedure codes as necessary

 

Charge Verification & Compliance

Reviews charge capture and rejection data and makes recommendations for alternate coding options

- Coordinates educational compliance, researches compliance issues, and provides recommendations to improve documentation accuracy

- Review protocol charges to confirm the charges relate appropriately to the coverage analysis and protocol budget with confirmation that the appropriate research modifier has been applied to the charges

 

Data Management & Reporting

Maintains related databases and generates ad hoc reports for tracking status of charges, compliance, delivery and reimbursement

 

Education & Training/Records Management

Works with other departments/divisions to assure all billing and collection activities are optimized

- Provides training to new administrative employees and advises regarding appropriate coding and related processes

- Sets up new electronic or paper financial files as necessary to support data needs and reporting requirements

- Creates and/or updates policies and procedures as required

- Provides documentation for existing and proposed procedures

- Organizes information for systems improvements and assists in implementation

- Instructs personnel on processes and procedures and new system applications


Associate's degree in Business Administration or related field. Three years professional fee or technical billing experience in healthcare, insurance or related field. May substitute required education degree with additional years of professional billing experience on a one to one basis. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

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