Data Integrity Coordinator, FT Days (57891)

El Paso Childrens Hospital Corporation; El Paso (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Paycom - ATS in El Paso, TX is seeking an Experienced Administrative professional for a full-time role in the Patient Access area. The position focuses on reviewing demographics and insurance data to ensure accuracy for billing, with emphasis on timely corrections and collaboration with supervisors.

The ideal candidate has at least two years of office or customer service experience, a high school diploma, and knowledge of medical terminology or ICD coding.

Qualifications

• Two years of office and/or customer service experience required.
• High school diploma or equivalent; medical terminology background preferred.

Responsibilities

• Review reports, registrations, and admissions for complete demographics and insurance data to ensure billability.
• Maintain audit processes including error type, payer source, and service line.
• Ensure corrections before billing.
• Communicate audit findings with Patient Access teams and management.
• Provide training recommendations and measure process improvements.
• Create monthly reports, spreadsheets and graphs to identify training needs.
• Manage TCE and CM1 records to meet billing criteria timely.
• Review outpatient exception and Alpha discharge reports and communicate trends to leadership.

Skills

Bilingual EN/ES

Office software

Written & verbal communication

Analytical thinking

Payer/coverage terminology

Healthcare/Finance exp

Education

High school diploma

Medical terminology / ICD familiarity

Job description

Job Details

Level: Experienced, Job Location: San Jacinto Plaza - Sunflower Building - El Paso, TX, Position Type: Full Time, Education Level: High School, Salary Range: Undisclosed, Job Shift: Day, Job Category: Administrative - Clerical

Responsibilities

• Under the direction of the Patient Access Supervisor, reviews reports, registrations, and admissions for appropriate demographic and insurance information to ensure that accounts are complete, accurate, and insurance billable.
• Maintains audit process to include type of error, payer source, service line, and associate.
• Ensure corrections are performed prior to billing.
• Communicates audit finding with Patient Access Associates, Patient Access Team Lead and Management.
• Provides training recommendations and measures process improvement.
• Creates and delivers monthly reports spreadsheets and graphs to identify training needs.
• Manages TCE and CM1 records to ensure billing criteria is met in a timely manner.
• Reviews Outpatient Exception and Alpha Discharge reports and communicates trending patterns to Patient Access Team Lead, Patient Access Supervisor and Patient Access Director.

Qualifications: Minimum Position Requirements

• Work Experience: Two years office and/or customer service experience required with knowledge of basic office equipment and computer software programs. Healthcare or financial background preferred.
• Education and Training: High school diploma or equivalent. Training or educational background with medical terminology and familiarity with ICD coding preferred.

Skills

• Ability to deal tactfully with Employees, patients, visitors and the general public.
• Basic computer literacy and keyboarding skills required.
• Effective written and verbal communication skills required.
• Analytical and problem-solving skills required.
• Knowledge of commercial and managed care payers and terminology.
• Bilingual English/Spanish required.