The Perioperative Services charge office is a sub-division of the Perioperative Services Administration Department. The charge office is necessary for the daily operations of charge / revenue capture for the Perioperative Services department. This work involves manually compiling data on paper documents and entering the computation into the departmental computer system. The Charge Information Auditor uses two computer systems to perform the detailed daily tasks of this job: iPath / Centricity Perioperative Manager (CPM) electronic system Patcom charge / billing system
WHAT IS EXPECTED (ESSENTIAL FUNCTIONS):
Reconcile patient records to surgery schedule: Knowledge of billing summary codes such as HCPCS, C-codes, etc. Calculate charges from hardcopy acuity record following procedure acuity protocol; enter into the GE iPath /CPM computer system. Calculate charges from hardcopy acuity record following time acuity protocol (in room, out room, and number of staff); enter into the GE iPath / CPM computer system. Research case by case discrepancies and apply corrections.
Verify chargeable items against company invoices for accurate charging: Request hold status on charges from the appropriate department as needed. Request new item clarification / verification from the Perioperative Services Purchasing department for billable items.
Enter patient charges (systems used: GE iPath / CPM and Patcom)
Charge description Master (CDM): Request new CDM codes for new chargeable items via the eCDM Patcom application. Maintain contract price changes in the eCDM as contract changes are received from the departmental business director.
Review daily Cypress reports and report discrepancies to appropriate department(s): Unresolved credits. GE iPath (CPM) / Patcom charge interface batch report to ensure charges passed to Patcom for the previous day. Notify appropriate contact person when problem with charge passage occurs.
Enter implant information in the GE iPath / CPM system when applicable: Required for FDA tracking. Patient Safety.
Manage on-site paper records for twelve month period: Order storage containers from records retention facility as needed. Transfer files monthly to off-site records retention facility. Maintain Excel file for file transfer and storage history. Request hardcopy records upon internal departmental requests
Work with internal and external auditors: Audits may be announced or unannounced. Audit hospital billing records vs. perioperative services records to ensure revenue compliance guidelines are met. Documents required for the audit process includes the entire record comprised of: Hardcopy of schedule Hardcopy of Perioperative record Hardcopy of Cypress reports
Print necessary GE iPath /CPM system audit reports to audit daily entries
The information contained in this job description is intended to describe the essential job functions required of those assigned to this job. It is not intended to be an exhaustive list of all responsibilities, duties, knowledge, skills, and abilities needed to perform the job. Please note that management retains the right to assign or reassign duties and responsibilities to this job at any time. The ability to competently perform all the essential duties of the position, with or without reasonable accommodation, demonstrated commitment to effective customer service delivery, integrity, and the ability to work productively as a member of a team or work group are basic requirements of all positions at Baylor Scott & White Health
EDUCATION - H.S. Diploma/GED Equivalent
EXPERIENCE - A minimum of 4 years experience required
Internal Number: 20013538
About Baylor Scott & White Health
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!
To improve the patient experience by providing health care providers; patients and their families; and others with information, education, networking opportunities, and related resources focused on best practices.