Charge Capture Specialist
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Role details
Tech stack
Job description
- Responsible for ensuring all appropriate charges are captured to maximize revenue by identifying, analyzing, and reconciling charge errors or omissions through review of documentation.
- Work closely with department leadership to educate clinical staff on proper charting technique to reduce errors.
- Works closely with the purchasing department to ensure charge master codes are added and entered correctly.
- Completes audits on a daily basis.
- Audits and reviews all operative records for daily accuracy.
- Review operative records for charge errors and omissions through free text documentation.
- Ensure all items charged are in the charge master system.
- Develop and maintain monitoring reports to assist clinical staff with error review, accuracy, education possibilities, and accountability.
- Complete daily OR efficiency and stat reports.
- May enter implant record items into operative records for charging.
- Initiates communication with appropriate person to resolve charge entry related issues.
- Collaborates with Supply Chain staff to create instructional materials for charge capture education/orientation/training of surgical staff.
- Informs OR staff and management of changes to charge entry & provide training as needed.
- Works with manager to formulate plan for professional development.
- Attends educational in-services as appropriate.
- Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.
Requirements
- High school diploma, associates degree preferred.
- 2 years in a healthcare field with medical terminology.
- 2 years of hospital or medical clinic billing and/or auditing.
- 1 year experience in a surgical setting preferred.
- Experience using Surginet, Discern Analytics, and Cerner programs.
- Understanding of CPT, HCPCS and ICD9/ICD10 preferred.
- Excel experience a plus.
PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
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