SUMMARY: Under direction of the Operations/Revenue Cycle Manager and Chief Operating Officer, t he Charge Reconciliation Analyst is responsible for reconciling hospital billing charges for multi-specialty services to ensure all inpatient services, provided by ETSU Health providers, are billed accordingly.
ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.
- Reviews patient census for various multi-specialty providers, reconciling inpatient visits compared to what is billed.
- If the Charge Reconciliation Analyst determines a charge has not been billed, when cross referencing the census list, he/she will contact the Administrator of the respective department to confirm the patient was seen in the hospital by the provider. If the patient was seen, determine why the charge has not been submitted and document when the charge will be submitted.
- The Charge Reconciliation Analyst will need to have access to Epic to review whether the provider did see the patient and confirm a note has been signed, before charges are submitted
- The Charge Reconciliation Analyst will report any concerns/problems regarding billing.
- The Charge Reconciliation Analyst will provide a monthly report to the Chair of each department and others, as identified, to provide reconciliation updates.
- Performs related work as required.
EDUCATION AND/OR EXPERIENCE: High School diploma or equivalent. Medical billing experience highly preferred but not required.
OTHER SKILLS AND ABILITIES: Knowledge of ICD-10 and CPT coding. Ability to establish and maintain an effective working relationship with faculty members, students, residents, and staff. Ability to operate computers, keyboards, and printers. Ability to listen attentively and concentrate on the situation at hand. Ability organize tasks, work as a team member and/or independently. Convey a professional and positive image and attitude.
