Charge Mgmt Spec MGBO
Wellstar Health Systems


Job Info


Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

The Charge Management Specialist is responsible for reviewing and appealing coding denials within the designated payer timeframes. He/she works closely with Physician Practices and Account Resolution as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these changes. The Charge Management Specialist also collaborates with cross-campus counterpart(s) to ensure clinical documentation in high risk areas is consistent and complete. The Charge Management Specialist uses analytical skills to identify trends in payer denials and translates this information into Charge Review edits that will be used to prevent future denials. Incumbent will assist in edit design and may participate in the development and implementation of training for Charge Capture Specialists.

Qualifications

Required Minimum Education:

  • High school diploma or equivalent from accrediated institution required. Bachelor's degree in Health Information, Healthcare, Business or Medical Office Administration preferred.

Required Minimum Experience:
  • Two Years Healthcare Account Resolution experience or two years experience in Physician billing.

Required Minimum Certification:
  • Professional coding certification required (CPC through AAPC or CCS-P through AHIMA).
Required Minimum Skills:

  • Ability to perform mathematical calculations
  • Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices
  • Basic knowledge of medical terminology
  • Detail-oriented, good organizational skills, and ability to be self-directed


We'd like to invite you on a career journey like no other! In return for your contributions, we'll help you make the most of all life's moments - on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy. We think it's pretty simple - we care for our team members and our team members care for the community.

Make a difference in patients' lives... and your own! Here, it's more than healthcare - it's CareerCare!



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