Charge Capture Specialist

Administrative/ClericalClinical Assessment Team Dalton, Georgia


Description

Hamilton Health Care System, Inc.

Job Description and Performance Standards

 

Title: Charge Capture Specialist - 554495174

 Department: Nursing Administration

Reports To:  Quality / Education Manager, Emergency Department

Shift: Varies

Status: 
PRN

JOB SUMMARY

The Charge Capture Specialist is responsible for assessing and entering charges for charge capture initiatives that cross over several services areas, including, but not limited to, observation services and medical services.  If documentation is deemed to be missing they will work with the clinical staff to insure that documentation is complete and accurate.  They will apply accurate charging procedures/protocols to insure that all billable charges are captured. The Charge Capture Specialist will assign charges based on IT reports and documentation included in the medical record. This position is responsible for accurately processing patient charges and ensuring that procedures are billed accurately.  This position is also responsible for maintaining the Productivity Tool Manager and report findings to Director/Manager.  Ensures that established daily routines/reports are completed in the given time period.  Responsible for ensuring that all billing charges are captured in an appropriate manner. Identifies, analyzes and reconciles observation charges or omissions. Reviews patient records and third party payer issues. Familiar with standard concepts, practices, and procedures within a particular field. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general supervision. A certain degree of creativity and latitude is required. Typically reports to a manager.

JOB QUALIFICATIONS

Education: Minimum of an Associate's Degree in a healthcare discipline, or minimum of two (2) years experience working with medical coding, patient charging, or financial reports

Licensure:      None

Experience: Experience in health care setting required.  Knowledge of medical terminology.  Work experience with a PC workstation and applications.  Proficiency in MS Office is required.  Working knowledge of Coding Rules and Regulations regarding observation charges, HCPCS, and Press Ganey.  Understanding Health Insurance required.

Skills: A detail and service-oriented individual who possesses excellent customer relation skills and communication skills. Demonstrates ability to use computer programs to accurately capture and process patient charges.

 

 

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Works in a busy clinical office setting with frequent interruptions with multiple simultaneous demands by physicians, co-workers and other departments.  Sitting required with some stooping or bending.  Utilizes computers and other office equipment. Requires ability to lift, push, bend, and stoop as necessary.  Requires walking to different departments in the hospital.  Requires full range of body motion including manual and finger dexterity and eye coordination.  Requires corrected vision and hearing to normal range.  Required to work flexible schedule as necessary.