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Charge Capture Specialist
AI Summary
Reviews surgical and operative records to identify charge errors and omissions, reconciles discrepancies, and educates clinical staff on proper charting to maximize revenue capture.
About this role
Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship, development, and leadership programs
- And more
Description
JOB DESCRIPTION:
- Responsible for ensuring all appropriate charges are captured to maximize revenue by identifying, analyzing, and reconciling charge errors or omissions through review of documentation.
- Work closely with department leadership to educate clinical staff on proper charting technique to reduce errors.
- Works closely with the purchasing department to ensure charge master codes are added and entered correctly.
- Completes audits on a daily basis.
- Audits and reviews all operative records for daily accuracy.
- Review operative records for charge errors and omissions through free text documentation.
- Ensure all items charged are in the charge master system.
- Develop and maintain monitoring reports to assist clinical staff with error review, accuracy, education possibilities, and accountability.
- Complete daily OR efficiency and stat reports.
- May enter implant record items into operative records for charging.
- Initiates communication with appropriate person to resolve charge entry related issues.
- Collaborates with Supply Chain staff to create instructional materials for charge capture education/orientation/training of surgical staff.
- Informs OR staff and management of changes to charge entry & provide training as needed.
- Works with manager to formulate plan for professional development.
- Attends educational in-services as appropriate.
- Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.
MINIMAL QUALIFICATIONS:
- High school diploma, associates degree preferred.
- 2 years in a healthcare field with medical terminology.
- 2 years of hospital or medical clinic billing and/or auditing.
- 1 year experience in a surgical setting preferred.
- Experience using Surginet, Discern Analytics, and Cerner programs.
- Understanding of CPT, HCPCS and ICD9/ICD10 preferred.
- Excel experience a plus.
PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
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