Charge Capture Specialist

Emory Healthcare•Johns Creek, GA

5d•Hybrid

About The Position

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.

Nice To Haves

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.

Responsibilities

ensuring all appropriate charges are captured to maximize revenue by identifying, analyzing, and reconciling charge errors or omissions through review of documentation
educate clinical staff on proper charting technique to reduce errors
ensure charge master codes are added and entered correctly
complete audits on a daily basis
audit and review 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
enter implant record items into operative records for charging
initiate communication with appropriate person to resolve charge entry related issues
collaborate with Supply Chain staff to create instructional materials for charge capture education/orientation/training of surgical staff
inform OR staff and management of changes to charge entry & provide training as needed
work with manager to formulate plan for professional development
attend educational in-services as appropriate
participate in professional activities and organizations to maintain knowledge of current trends, practices, and developments