Clin Charge Capture Spec

Reviews standard Epic Reports to identify and resolve charge related issues. Reviews and resolves all assigned edits / respective workqueues within prescribed timeframe. Provides support to Professional Revenue Integrity Specialists and Hospital Billing CDM Specialists for various audits and educational sessions.

I. Major Responsibilities:

1. Reviews standard Epic Reports (Open Encounter Report, workqueues and Revenue and Usage report) to identify and resolve charge related issues, e.g., incomplete, missed, or incorrect charges.
2. Reviews and resolves all assigned edits / respective workqueues within prescribed timeframe.
3. Collaborates with clinicians, Professional Billing Revenue Integrity Specialists and Hospital Billing CDM Specialists for proper workqueue resolution.
4. Produces and distributes standard reports to Clinic managers and Clinical leads, as assigned.
5. Collaborates with Clinical lead(s), managers and physicians for submissions to add new services or make changes to the Charge Description Master / Charge Generation Tracker.
6. Provides support to Professional Billing Revenue Integrity Specialists and Hospital Billing CDM Specialists and / or Auditors for routine audits and education sessions.
7. Performs downtime procedure process for billing area / cost center, as assigned.
8. Works independently while contributing effectively to the accomplishment of team objectives and goals.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

License/Certification/Education: Required:

1. High School diploma required.

Preferred:

1. Associate of Arts degree in the medical field (i.e., Medical Assistant, Medical Coding, etc.)

Experience/Skills: Required:

1. Demonstrated leadership ability, initiative, teamwork and assertiveness.
2. Excellent verbal, written and interpersonal communication skills.
3. Computer skills and ability to access and use multiple data systems including various PC applications, e.g. Excel, Word, Access and Power Point.
4. Analytical, research and evaluation skills required to make recommendations and implement operational improvement strategies as part of a cohesive team.
5. Ability to effectively interact with various people and adhere to team management concepts.
6. Must have the ability to maintain a positive attitude and professional manner when interacting with team members, management and other staff members.

Preferred:

1. Experience working in a healthcare environment.
2. Knowledge in ICD and CPT / HCPCS coding, 3rd party payer requirements and federal and state guidelines and regulations pertaining to coding and billing practices preferred

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Position is primarily sedentary, with occasional standing and walking required. Position requires frequent use of computer, and therefore, requires being able to use keyboard, printer, and reading of developed material. Position requires work indoors in normal office environment.

In other physical activities, those activities should be generally described along with the approximate frequency of those activities.

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day., We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.