Provides the necessary functions to capture all charges in a timely and appropriate manner. Audits and processes all inpatient and/or outpatient physician and hospital services provided in clinical or outreach facilities, as well as outreach services from other institutions. Reviews patient account records. Researches and captures charges and identifies omissions. Completes diagnosis and procedure coding activities based on predetermined policy, to ensure that services are submitted for payment to the patient and/or their insurance carrier in a manner which accurately optimizes reimbursement to support GHS operations and strategic initiatives.
Performs duties to support goals and objectives of Geisinger Health System in its efforts to provide the highest level of patient care and satisfaction. The ability to read and communicate effectively. Advanced computer and office equipment knowledge, including Windows-based programs (EMR experience a plus). Detail-oriented, strong organizational skills and ability to multitask in a fast paced environment. Ability to work individually, and as a member of a team. Excellent interpersonal and communication skills. Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A certain degree of creativity and latitude is required.
Directly accountable to the Supervisor/Manager.
Competencies and Skills:
Demonstrates good organizational skills and effective communication skills.
Demonstrates ability to communicate effectively with various levels of the organization.
Demonstrates ability to meet standards set forth for both productivity and quality of work.
Demonstrates accurate and efficient data entry.
Demonstrates ability to complete tasks with minimal supervision.
Demonstrates the ability to be punctual, dependable and exercise a reliable attendance record.
Demonstrates the ability to work well in a team atmosphere fostering a positive, professional relationship with all staff across department and company lines.
Education and or Experience:
High School Diploma or equivalent required
Experience in professional and hospital billing systems, ICD-9/ICD-10 diagnosis coding, CPT procedure coding, basic mathematical calculations, anatomy and physiology, and medical terminology preferred.
Experience with Microsoft Office Programs (Excel, Word, etc.) preferred.
Previous data entry experience preferred.
Requires up to 6 months on the job training to learn all aspects of the position and maintain Revenue Capture benchmarks.
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.