Lab Charge Capture Specialist - FT - Eves -Clinical Laboratory MV
About The Position
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. Job Responsibilities: The Charge Capture Specialist performs daily audits of lab orders and manages frequent complex interactions with many internal and external contacts as required for compliance, audits and accuracy. Interacts with Manager, Director of Revenue & Reimbursement, Manager Charge Master, internal audit representatives, client relations, nurse auditors, corporate compliance officer, HIMs and billing coders, physician group, nThrive representatives, & IT staff. Under the direction of the OP Lab Manager, performs account reviews and investigations, manual charge entry, facility reconciliations, daily charge capture audit (CCA) exceptions and meeting minutes. Assists the Manager in updated information and education on an on-going basis to lab staff and Charge Capture Coordinator staff. Reviews and resolves exceptions and errors as they relate to Lab Charges and Coding. Analyzes charge review Work Queues (WQ) and makes corrections to charges and coding as necessary. Ensures charges are corrected timely so there is no adverse effects on Accounts Receivable. Works with providers to research charge and coding issues as needed. Provides specialized technical knowledge of billing and required weekly attendance to the weekly Lab working sessions with consultant and Revenue integrity team. The Charge Capture Specialist is accountable for the Billing activities including oversight of daily operation of the Charge Capture coordinator and collaboratively work with the LIS analyst. Identifies and resolves issues. Ensure staff are working their WQ and billing daily. Works with appropriate provider, management team and staff when identifying errors or issues. Provides formal education to the assigned area. Uses Department information system effectively and efficiently. Assists in implementation of new or upgraded Billing software. Follows internal/external regulatory and compliance guidelines.
Requirements
- High school diploma required
- Medical Billing and Coding Certificate required
- Minimum two (2) years’ experience in a clinical setting, or two years administrative support experience
- Advanced understanding of lab coding, Epic late charge entry, charge capture audit application, the CMS codng and billing regulations
- Minimum five (5) years of Lab Charge capture and billing experience required
- Understands charge capture processes, read and comprehend the patient chart
- Knowledge of healthcare regulatory compliance, HIMS, HIPAA, and coding rules, and an ability to maintain confidential and complex medical records
- Excellent English, verbal and written communication skills
- Excellent communication and public relation skills, able to handle multiple tasks and interruptions
- Proficiency with Windows and Microsoft Office Suite, including Excel
- Experience using EPIC and SOFT (LAB LIS) software systems
- Excellent organizational skills
- Works effectively as a team member under multiple demands and expectations
- Works with minimal supervision
Nice To Haves
- Bachelor or Associate degree preferred
- EPIC Charge Capture experience preferred
Responsibilities
- Performs daily audits of lab orders
- Manages frequent complex interactions with many internal and external contacts as required for compliance, audits and accuracy
- Performs account reviews and investigations
- Performs manual charge entry
- Performs facility reconciliations
- Addresses daily charge capture audit (CCA) exceptions and meeting minutes
- Assists the Manager in updated information and education on an on-going basis to lab staff and Charge Capture Coordinator staff
- Reviews and resolves exceptions and errors as they relate to Lab Charges and Coding
- Analyzes charge review Work Queues (WQ) and makes corrections to charges and coding as necessary
- Ensures charges are corrected timely so there is no adverse effects on Accounts Receivable
- Works with providers to research charge and coding issues as needed
- Provides specialized technical knowledge of billing and required weekly attendance to the weekly Lab working sessions with consultant and Revenue integrity team
- Accountable for the Billing activities including oversight of daily operation of the Charge Capture coordinator and collaboratively work with the LIS analyst
- Identifies and resolves issues
- Ensures staff are working their WQ and billing daily
- Provides formal education to the assigned area
- Uses Department information system effectively and efficiently
- Assists in implementation of new or upgraded Billing software
- Follows internal/external regulatory and compliance guidelines
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
