Data Coordinator Ii

SHIFT:

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A Brief Overview
Perform charge corrections and verify duplicate charges on a timely basis as well as coordinating the return of incomplete charges to the department for additional information. Maintain all charge correction and return logs
What you will do

• Performs charge corrections in the EPIC billing system.

• Verify that all charge correction requests and code change requests have all necessary backup and appropriate signatures.

• Notify the Manager of Revenue Cycle of any additional information or signatures that are needed.

• Must notify Charge Entry Manager of any problems with obtaining necessary backup 100% of the time.

• Perform non-urgent charge corrections within a 3-day turn around time.

• Send notification of completed charge correction to requestor.

• Submit refund requests to the Manager of Revenue Cycle per the charge correction refund policy 100% of the time.

• Must notify Charge Entry Manager of any backlog within one working day, 100%of the time.

• Verifies possible duplicate charges.

• Verify all possible duplicate outpatient charges, via email, with the departments before the charge is submitted 100% of the time.

• Verify all possible duplicate abstracted charges with the abstractionist responsible for the charge before the charge is submitted 100% of the time.

• Defer all possible duplicate charges in the Data Coordinator II’s work queue for 10 Days.

• Must delete all duplicate charges out of Data Coordinator II’s work queue (once verified by department/abstractionist)

• Must submit all non-duplicate charges in Data Coordinator’s work queue (once verified by department/abstractionist).

• Return Charge slip to original batch

• Submit all code change requests, from the billing department, to Compliance for Review

• Submit all outpatient code change requests to Compliance within 24 hours of receipt.

• Submit all abstracted code change requests to the Director of abstraction and Compliance within 24 hours of receipt

• Return Charges for additional information and follow-up

• Return all charges that are missing information necessary for entry within 24 hours of receipt.

• Responsible for contacting department/abstractionist (via email) if provider is not linked to billing area within 24 hours of receipt

• Once the department returns the corrected charge slip, the Data

• Coordinator II is responsible for correcting the charge and submitting the charge from the work queue.

• Return Charge Slip to original batch.

• Responsible for verifying that all the charges in the Deferred Tab have been returned to the department.

• Responsible for following up on all outstanding charge returns by sending out a spreadsheet, via email, to PARC listing all returns that have been outstanding for 10 or more days.

• Return Charges for additional information and follow-up

• Responsible for entering all charge corrections into charge correction log.

• Responsible for entering all code change requests into the charge correction log before sending to appropriate party.

• Responsible for entering all charges that require additional information into the return log.

• Responsible for follow-up on all logs on a weekly basis, sending out 2nd requests if necessary.

• Must notify charge entry supervisor of any problems with obtaining necessary information 100% of the time on a monthly basis.

• Support for maintaining Claim Edit Work queue (General Billing Errors) when the Registrar is absent.

Education Qualifications

• High School Diploma / GED Required

Experience Qualifications

• At least two (2) years Two years experience in the medical field with some knowledge of physician billing Preferred

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.
Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
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