Charge Capture Specialist

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

PRIMARY PURPOSE

Responsible for validating and entering departmental charges daily. Responsible for researching departmental charge discrepancies and working with other departments/organizations to make necessary corrections to charges. Responsible for quality review audits.

MINIMUM SPECIFICATIONS

Education

- Must have a High School diploma or GED. Experience

- Must have five years experience in a hospital or business office setting to include experience in the areas of medical billing, registration, or coding.

Equivalent Education and/or Experience

- May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Certification/Registration/Licensure

- Certification/Licensure: CPC, COC, preferred. Skills or Special Abilities

- Must have knowledge of third-party payors and understand managed care and insurance coverage, eligibility, explanation of benefits, and the billing process.

- Must have working knowledge of CPT and ICD-9 coding.

- Must be able to demonstrate a working knowledge of personal computers, to include word processing, spreadsheet/excel, and database software.

- Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve complex financial issues.

- Must demonstrate a positive demeanor, professional skills/approach, good verbal and written communication skills.

- Must demonstrate teamwork and interpersonal skills.

- Epic experience, preferred

Responsibilities

1. Provides daily review of services provided and generates charges based upon these services.

2. Research and monitors areas of compliance, workflow, business processes and recommends policies, procedures and/or other changes to improve charging consistency and charging effectiveness.

3. Assists in management/reconciliation of patient accounts with charge discrepancies by researching issues and working with Patient Financial Services (PFS), Health Information Management (HIM) and revenue generating department(s) to ensure account adjustments are made in a timely manner.

4. Ensures complete and accurate information is provided for coding and billing to ensure revenue is applied appropriately.

5. Monitors and tracks quality and productivity by auditing accounts to ensure adherence to charging policies and procedures. Participates in ongoing quality monitoring and training, policy review and process improvement activities.

6. Works with Charge Capture Coordinator and/or management to coordinate workflow activities.

7. Identifies ways to improve workflow and customer satisfaction and make recommendations to Charge Capture Coordinator and/or management to improve upon these areas.

8. Supports and provides expertise in the charge generation process for the revenue generating department(s) to achieve accurate charging practices and/or improvement in charge generation.

9. Serves as a resource and liaison between the charging departments, billing/PFS, HIM and the management team.

10. Resolve accounts in assigned work queues timely.

11. Maintain positive working relationships with staff, other key contacts, and management team. 12. Responsible for timely completing special projects and/or audits as assigned by management and seeks advice and guidance as necessary to ensure proper understanding.