Charge Capture Specialist is responsible for ensuring that all billing charges are captured in an appropriate manner. Identifies, analyzes and reconciles billing errors or omissions. Being a Charge Capture Specialist reviews patient account records and third party payer issues. May require a bachelor's degree. Additionally, Charge Capture Specialist typically reports to a manager. To be a Charge Capture Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Department: Operating Room
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr
Summary:
The Associate Charge Capture Coordinator assists the Manager of Operations with billing activities related to patient services and ensuring billing charges are captured in an appropriate time frame and manner. This role maintains billing documentation, assigns charge codes and amounts, performs charge entry, and post Epic logs for all patient services rendered by the perioperative departments: This role also provides coverage to the perioperative scheduler. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Responsibilities:
1. Follows charge capture initiatives and develops procedures to ensure accurate and timely capture of all chargeable procedures per billing office guidelines.
2. Continually monitors and works towards reducing Account, Charge Review, and Claim Edit Work queues.
3.Communicates effectively with team members, Supply Chain, Compliance, rendering departments and clinical staff.
4. Works with operations manager to identify workflow best practices and preventing inaccurate services from being billed. Works pre-bill edits and collaborates with intra-departmental team members to identify root cause.
5. Engages in implementing process improvement initiatives by recognizing revenue enhancement opportunities. 6.Reconciles billing data prior to posting the logs based on billing office guidelines.
7.Collects, organizes and processes previous day’s individual charge records and recovery log sheets on a daily basis. 8.Processes purchase order requests or contacts vendor for missing purchase order requests the day following surgery. 9.Performs verification of patient charges, and submits purchase order request log and documentation to purchasing. 10.Reconciles charge for open code items, identifies appropriate cost, determines marked up price and enters appropriate pricing and EAP code in the patient log.
11.Files and maintains organized departmental billing records and related support documentation. 12.Reviews incomplete cases from previous days and processes.
13. Works with Supply chain to assist with adding missing items into system.
14. Validates, logs and escalates discrepancies to the appropriate staff for correction or clarification. 15.Participates in the training of new hire or cross training of staff to new and/or revised procedures. 16.Provides backup for colleagues
17.Meets expected performance metrics and goals. 18.Completes other tasks as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.