Data Specialist II - General Surgery

CHRISTUS

Surgical Hospital's Operating Room (OR) is a vital part of our patient care team. Our facility has 33 beds, 11 Operating Rooms, 2 Endoscopy Procedure rooms, and 3 Isolation Rooms. We provide exceptional surgical services to a diverse patient population. Our primary surgical procedure is orthopedics surgery with a particular focus on hip and knee replacement surgery using the exclusive and less invasive MAKOplasty procedure. In addition to orthopedics surgery, we also perform general surgery, ENT, eye, podiatry, dental, plastics, bariatrics and GYN procedures. We are committed to providing the best surgical care to our patients by focusing on their needs and maintaining a safe and comfortable environment. Our skilled surgeons and staff deliver excellent and compassionate care, resulting in superior patient outcomes. We pride ourselves on maintaining a positive work culture that values teamwork and motivates our staff to deliver the best possible patient care. We recognize that our employees are critical to our success, and we value their contributions. We are dedicated to providing ongoing training and professional development opportunities to our staff to ensure they have the necessary skills and knowledge to provide exceptional patient care.

Summary:

The Data Specialist II will be responsible for reviewing data and ensuring that all charges are captured in an appropriate manner. A primary function is to ensure the accuracy and completeness of patient charges and supporting documentation to produce compliant patient billing. This position is responsible for corrections and additions of procedural charges based on clinical documentation; accurate facility observation hour charges including charge entry, reconciliation, clearing charge rejections, and clearing ABS hold accounts. The position will collaborate with Nurse Auditors, Coders, Finance, and Clinical Directors as needed. In addition, this position may also be asked to assist with other special projects related to charge capture and rebilling projects.

Responsibilities:

Reviews and works a list of charge capture edits for accuracy, communicates with departments on documentation, charge capture, and coding issues. Identifies patterns by department and facility, Notes any trends and identifies education opportunities, communicates with Coding, Nurse Auditors, and clinical directors as needed to ensure accurate charge capture. Submits charges for rebilling, including the removal of inaccurate charges and replacement of corrected charges. Facilitate 100% daily charge reconciliation for charges. Facilitate timely processing of ABS holds and rejection batches related to charges. Communicate regularly with clinical staff as questions arise regarding the accuracy and compliance of charge entry and documentation opportunities. Demonstrates a good working relationship with various clinical and non-clinical departments. Assures questioned charges are resolved and submitted within 72 hours. Responsible for identifying issues and implementing process improvements for charge accuracy. Continually review and update best practices for charge capture. Facilitate initial and ongoing training of charge capture associates. Other charge capture related duties as assigned.

Requirements:

Education/Skills High school diploma or equivalent required Some college courses required; degree preferred Experience Three years' experience in a clinical or related setting required Charge capture experience required. Licenses, Registrations, or Certifications Coding certification preferred

Work Schedule:

5 Days - 8

Hours Work Type:

Full Time