Access Control Specialist

Precise Systems; El Paso (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Precise Systems is seeking a Charge Capture Coordinator to manage charge capture for general pediatric inpatient and outpatient services. You will work under the Manager of Revenue Integrity to ensure compliant, accurate charging in collaboration with Case Management and the Charge Capture Specialist.

You will apply ICD-10/CPT/HCPCS coding knowledge and billing regulations to optimize revenue and minimize denials, while maintaining strong communication with care teams and billing staff.

Qualifications

• Two years of healthcare experience with at least one year in billing/coding, revenue cycle, or charge capture.
• Strong knowledge of ICD-10 CPT/HCPCS coding conventions and reimbursement rules.
• Ability to read and comprehend English to follow written and oral instructions.
• Certification in CCS/CCA/CPC preferred; not required.

Responsibilities

• Responsible for charge capture of General pediatric inpatient and outpatient services for assigned departments.
• Ensure complete and accurate revenue integrity charging standards and medical necessity with Case Management and Charge Capture Specialist.
• Follow Medicare, Medicaid, or third-party payor guidelines for charging and billing.

Skills

Communication skills

Healthcare charging

ICD-10 coding

English comprehension

Team collaboration

Problem solving

Knowledge application

Systems issue resolution

Computer skills

Education

High School Diploma

Job description

Under the general supervision of the Manager of Revenue Integrity, the Charge Capture Coordinator is responsible for the charge capture of the General pediatric inpatient and outpatient services for the assigned department(s). Responsible for ensuring complete and accurate revenue integrity charging standards and medical necessity in collaboration with Case Management and the Charge Capture Specialist. Follows charge capture and billing practices in accordance with Medicare, Medicaid, or Third-Party Payor guidelines.

Required Skills

• Possesses effective oral and written communication skills.
• Excellent knowledge of health care charging/billing practices
• Knowledge of ICD-10 CPT/ HCPCS coding conventions and reimbursement rules for Medical Necessity, claims denial, bundling issues and charge capture.
• Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
• Ability to foster and facilitate working relationships and teams.
• Ability to analyze, evaluate and solve problems.
• Ability to apply knowledge to work place issues.
• Ability to effectively resolve complex systems issues.
• Excellent computer skills.

Required Experience

• Two years of experience in the health care industry with at least one year experience working in the following healthcare settings: billing/coding, revenue cycle, or charge capture.

License/Registration/Certification

**** Certification in one of the following is preferred:

• AHIMA- Certified Coding Specialist (CCS)
• AHIMA- Certified Coding Associate (CCA)
• AAPC- Certified Professional Coder (CPC)

Education and Training

• High School Degree or equivalent.

Qualifications

• Possesses effective oral and written communication skills.
• Excellent knowledge of health care charging/billing practices
• Knowledge of ICD-10 CPT/ HCPCS coding conventions and reimbursement rules for Medical Necessity, claims denial, bundling issues and charge capture.
• Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
• Ability to foster and facilitate working relationships and teams.
• Ability to analyze, evaluate and solve problems.
• Ability to apply knowledge to work place issues.
• Ability to effectively resolve complex systems issues.
• Excellent computer skills.