Charge Capture Coordinator
Requisition #: 62352
Total hours worked per week: 40
Total hours worked per week: 40
Description
JOB OVERVIEW
The Charge Capture Coordinator is responsible for reviewing and analyzing all aspects of the system clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission. Assists in revenue reporting, tracking and analysis. Leads the development of charge reconciliation processes for Munson Healthcare system facilities and departments. In addition, will coordinate with the Internal Audit department to perform account audits, identify opportunities for increased charge capture, reimbursement and identify opportunities for improved documentation. Collaborates with members of the revenue cycle and clinical department teams to promote opportunities for improvement.
ENTRY REQUIREMENTS
Bachelor’s degree required and preferences given to degrees from healthcare or business field.
Currently licensed as a Registered Nurse is required.
Strong documented clinical background in healthcare services is necessary. A minimum of five years of experience is required.
Medical chart auditing or equivalent experience preferred.
Certified Coding Certificate CPC, COC or CCS preferred.
Solid understanding of medical records coding, competence in regulatory issues with knowledge and experience of hospital charging and billing is essential.
Experience in revenue integrity, healthcare coding, compliance or clinical field with knowledge of medical terminology and coding terminology (including CPT and ICD) preferred.
Strong communication skills, both written and verbal, are required to interact effectively with all levels of healthcare system personnel.
Highly computer proficient with reporting, spreadsheet and database financial programs (especially Excel).
Capable of working independently, detail-oriented, highly developed organizational skills, and ability to prioritize activities.
Previous experience in charge master development, multiple hospital system billing procedures and working with a variety of third-party payor issues is preferred.
Previous experience in facilitating system educational sessions or in staff training is preferred.
Experience in coordinating or conducting record documentation, coding and/or charge auditing is essential.
ORGANIZATION
Significant contact and interaction with customers from departments throughout the healthcare system.
Ability to work independently, establish priorities, meet tight deadlines, and handle diverse
responsibilities.
Ability to function in a complex healthcare system environment.
Demonstrates leadership in a team environment across the healthcare system.
Actively participates in setting and attaining departmental goals to maximize revenue capture.
AGE OF PATIENTS SERVED
No clinical contact with patients.
SPECIFIC DUTIES
- Supports the Mission, Vision and Values of Munson Healthcare
- Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
- Promotes personal and patient safety.
- Supports the development and maintenance of the charge capture portion of the System Revenue Integrity Intranet page.
- Uses effective customer service/interpersonal skills at all times.
- In collaboration with the CDM Coordinators assists in the oversight of healthcare system charge masters to ensure accurate coding, consistency in billing and compliance to all Federal, State, and Local regulations.
- Educates patient service departments on the billing/charging process.
- Responsible for staying current with billing edits, coding changes, and Federal regulations/requirements as applicable dependent on hospital designation across the healthcare system.
- Utilizes Charge Capture software and related reports to share department revenue performance to leadership and identify opportunities for improvement. Facilitate and coordinate charge capture data extraction needs and reporting for Leadership.
- Work to identify lost opportunities for reimbursement and implement process improvements as indicated across the healthcare system.
- Reports documentation deficiencies, billing errors, and trends to the appropriate leadership for any needed resolution.
- Acts as an administrator in the use of charge capture software to maintain users in the system.
- Provides oversight to ensure all departments are maximizing their use of the charge capture software to identify all appropriate and compliant services.
- Monitor and measure effectiveness of revenue cycle process improvements implemented.
- Be a resource for questions regarding new services, and unique billing problems.
- Initiate and participate in interdepartmental work groups to promote and facilitate standardization across the healthcare system.
- Develop, implement, and maintain charge capture standard work documents.
- Performs other duties and responsibilities as assigned.