Charge Capture Associate

Children's Healthcare of AtlantaBrookhaven, GA
Onsite

About The Position

Performs charge posting for patient encounters. Maintains charge review work queues in support of assigned physician practice(s), which involves working charge review errors to completion. Performs account and coverage review as needed to resolve all in-scope billing edits within charge review work queues.

Requirements

  • 2 years of experience in a medical front office and/or billing responsibilities in a physician practice or hospital setting
  • Knowledge of evaluation and management procedure coding
  • Knowledge of CPT, HCPCS, modifiers, and ICD-9/10 coding
  • Knowledge of medical terminology
  • Knowledge of typical procedures and equipment used
  • Proficient in Microsoft applications, including Word and Excel
  • Must be very organized with the ability to handle multiple tasks at once
  • Skilled in problem-solving and critical thinking
  • Demonstrated verbal and written communication, organizational, customer service, and interpersonal skills

Responsibilities

  • Performs daily review of Epic charge review work queues and corrects charge entry errors, such as invalid diagnosis codes, CCI edits, duplicate charges, and other system edits.
  • Reviews provider documentation and patient registration records to validate accuracy of charges and compliance with payor billing requirements.
  • Completes patient registration as assigned to support charge capture for specialty areas.
  • Coordinate account and charge corrections with coders, providers, clinic staff, and accounts receivable specialists as needed to support charge accuracy and compliance updates.
  • Utilizes available resources and continuing education programs to remain knowledgeable and current with billing compliance regulations.
  • Communicates recurring issues and new trends to revenue integrity leadership and recommends updates to work queues, rules, or workflows to promote efficiency and accuracy.
  • Supports and participates in the continuous assessment and improvements of the quality of services provided.
  • Meet department standards for work queue volume, accuracy, and turnaround time while staying current on charge capture policies, payer updates, and Epic build changes.
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