Charge Review Specialist

Charge Capture Specialist

Townsen Memorial Hospital is looking for a Charge Capture Specialist to join our team! The Charge Capture Specialist is responsible for entering and reconciling clinical surgical and/or diagnostic charges. The Charge Capture Specialist will ensure charges are entered timely accurately and are supported by clinical documentation.

Essential Functions:

• Ensures the accurate data entry of patient demographics to enable timely reimbursement.
• Receive and review charge entry data.
• Accurately and efficiently enter charges and adjustments.
• Apply inventory item adjustments in Meditech system.
• Inform supervisor of consistent issues when identified.
• Communicate with billing for supplies needing charge amounts.
• Keep current on informational changes in billing procedures.
• Capture charges for the Perioperative departments working through documentation and ensuring that orders are accurate and ready for submittal.
• Assigns appropriate billing codes for an acute care periop or outpatient unit(s) clinic(s) or medical office(s).
• Evaluates medical records provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills.
• Uses coding software and Charge Description Master (CDM) to create billings and charges for insurers government agencies and other payors.
• Reviews patient records dictated report(s) and physician/provider notes.
• Performs audits to discover areas for corrections.
• Identifies opportunities for improvement in clinical documentation and shares that information with the appropriate staff.
• Works with other point of service charging/coding staff to maintain consistency in practice.
• Performs all other related duties as required and assigned.

Knowledge Skills and Abilities:

• Must be able to work in a high-volume environment.
• Knowledge of CPT ICD-10 codes and medical terminology.
• Good telephone etiquette and organizational skills.
• Able to handle diversified duties.
• Ability to operate 10-key numerical pad by touch.
• Must be computer literate and have the aptitude to learn new programs as changes occur.

Education and Experience:

• High School Diploma or GED
• Typing skills 30-45wpm

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care outpatient surgery and diagnostics and imaging. Our core mission is to provide compassionate evidence-based patient care to those we serve. At Townsen Memorial we encompass diversity dignity and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients our communities and each other.

Compensation to be determined by the education experience knowledge skills and abilities of the applicant internal equity and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.