[Hiring] Clinical Charge Audit Analyst @Wellstar Health System

Role Description

Wellstar Paulding in Hiram, Georgia is seeking FT Clinical Charge Audit Analyst. The Clinical Charge Audit Analyst provides clinical documentation improvement, auditing, coding and charge entry for all diagnostic, interventional, structural heart and surgical cardiovascular procedures performed in the Cardiac Catheterization Labs and Electrophysiology Labs.

• This includes chart and report review and supply/implant inventory utilized.
• Reviews clinical documentation in the procedural event log and provides coding and compliance training to physicians, clinical personnel, billing and/or hospital staff.
• Conducts medical record reviews to ensure accurate and appropriate documentation, coding, charging and billing practices to ensure compliance and to meet coding regulatory standards.
• Reviews documentation to ensure that the appropriate diagnostic and procedural ICD-10, CPT-4 and HCPCS codes can be assigned to the greatest specificity for appropriate reimbursement.
• Reviews and verifies that the coding, demographic, encounter and charge related information is entered correctly into the patient record.
• Works in conjunction with Compliance, RMD, the CTO, and HIM departments for correct coding and billing of Clinical Trials and new procedures being evaluated and performed in the Cardiovascular department.
• Researches new procedures gathering information on CPT and DRG reimbursement, the cost of supplies required for the procedure and in-service opportunities for staff and physicians.
• Works with RMD to build charge codes for these new procedures and serves as Clinical and Coding Liaison.
• Responsible for seamless image acquisition into the MERGE / PAC's system.
• Works closely with Lawson and collaborates with supply chain to ensure all new supplies are assigned proper SUP codes and item numbers and troubleshoots issues that prevent charges from posting.
• Maintains clinical expertise and extensive knowledge of cardiac anatomy and cardiovascular procedures correlating to supplies.
• Processes Bill-Only requisitions for Pacemakers and ICD's.
• This position is responsible for working with the Epic team to provide the necessary procedure information that is integral in data development for the AHQ Annual State Survey.
• Also serves as back-up coding support for the Vascular Institute when VI Coder is out.

Qualifications

• High School Diploma / GED General

Requirements

• Minimum 3 years of acute care coding or billing or charge capture experience.
• Minimum 5 years Clinical Interventional Cardiovascular/EP, IR and/or Surgical experience.
• Computer/data entry experience.

Benefits

• Support to do more meaningful work.
• Enjoy a more rewarding life.
• Connect with the most integrated health system in Georgia.