Hudson Regional Hospital

Job Description Duties: Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission. Work directly with third party payers, internal and external customers, and other contract clients toward effective and efficient collection results on accounts assigned by management in accordance with department policy and procedures. Maintains a thorough knowledge of third party billing and collection requirements for payers assigned for handling. Utilizes all resources available, including electronic inquiries to verity eligibility, benefits and claim status. Exercises good judgment towards account resolution and documents all activity on account in a clear, accurate and consistent manner utilizing appropriate online system. Work correspondence, explanation of benefits and remittance advice daily ensuring a 72-hour turnaround period is met. Demonstrates excellent customer service skills when responding to incoming or outgoing calls...

Job Description Job Duties: Reviews Inpatient medical record documentation to determine accurate code assignments. principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. Accurately abstracts ICD-10 diagnosis, procedure codes and CPT codes Performs clinical data abstracting from patient record in the encoder system. Knowledge of anatomy, physiology and medical terminology and able to apply Has coding compliance rate < 98.5% Immediately reports to DIR, HIS on issues with documentation; missing or requires clarification. Generates Coding Query notifications to Providers for where documentation requires clarification due to inconsistencies in Diagnosis and/or Surgical Procedures. Provider notifications on deficiencies and...