Charge Capture Spec

Job Summary

The Charge Capture Specialist is responsible for ensuring that all billing charges are captured in an appropriate manner.

Essential Functions

• Performs daily account review of discharged accounts as identified on the daily unbilled reports, reconciling charges and documentation.
• Provides support and education to all charging departments for increased compliance and timely charge capture.
• Monitors outstanding accounts for notification to department directors and medical staff to ensure organizational unbilled goals are achieved (less than 3 days).
• Ensures accounts receivable and unbilled opportunities are realized and captured.
• Develops and presents basic, intermediate and advanced education for facility personnel on accounts receivable / unbilled edits and revenue cycle improvement opportunities.
• Identifies trends in underpayments / overpayments, denials, revenue opportunities and revenue leakage to maximize facility reimbursement.
• Identifies, analyzes and reconciles billing errors and omissions.
• Adheres to official coding compliance regulations, organizational policies regarding billing and industry best practices.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Associate Degree or 3 years relevant experience required
• 1-3 years of progressive revenue cycle healthcare experience, clinical background or comparable clinical experience required
• 1-3 years Previous experience working in a hospital revenue cycle experience required
• Less than 2 years auditing experience required

Knowledge, Skills and Abilities

• Must have broad knowledge of documentation requirements for accurate ICD-9-CM, ICD-10-CM//PCS and MS-DRG assignment.

Licenses and Certifications

• Certified Professional Coder (CPC) Certified Professional Coder (CPC) required
• RHIT - Registered Health Information Technician preferred