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.
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.
Required Minimum Education: