Charge Capture Specialist

POSITION PURPOSE

Under general supervision of the Supervisor of Billing, the Charge Capture Specialist is responsible for reviewing logging of surgical procedures, preparing patient charges, auditing records for accuracy, maintaining records and preparing reports

ESSENTIAL JOB FUNCTIONS

Every effort has been made to make this job description as complete as possible.  However, it in no way states or implies that these are the only duties the incumbent will be required to perform.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.

1.      Capture charges for the Perioperative departments, working through documentation, and ensuring that orders are accurate and ready for submittal.

2.      Assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s).

3.      Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills.

4.      Uses coding software and Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

5.      Reviews patient records, dictated report(s), physician/provider notes.

6.      Uses a standard listing of procedures/charge codes and/or an automated system with the company’s programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

7.      Performs audits to discover areas for corrections.

8.      Identifies opportunities for improvement in clinical documentation and shares that information with the appropriate staff.

9.      Maintains a current knowledge of procedural terminology requirements and documentation requirements.

10.  Works with other point of service charging/coding staff to maintain consistency in practice.

11.  Abides by the HMH Legal Compliance Code of Conduct. 

12.  Maintains a safe work environment and reports safety concerns appropriately.

13.  Maintains confidentiality and appropriate handling of PHI.

14.  Performs all other related duties as required and assigned.

Requirements

QUALIFICATIONS

Education: High school diploma or GED required. 

Experience: Prior hospital, ASC or business office experience in a healthcare setting required.

Required Skills: Excellent interpersonal, customer service, problem-solving, and written and oral communication skills.