Cash Posting Representative

CommonSpirit Health; Chattanooga (TN); On-site; USD 38,000 - 52,000; Full time

Job summary

CommonSpirit Health seeks a Charge Capture Representative to ensure accurate capture of all billable services, driving revenue cycle performance and compliance. You will review documentation and orders, assign CPT/HCPCS/ICD-10 codes, and ensure precise charge entry daily.

You will collaborate with clinicians, coders, and billing specialists to clarify documentation, resolve discrepancies, and reinforce best practices in a fast-paced, compliant environment.

Qualifications

• Strong medical terminology background and coding knowledge (CPT, HCPCS, ICD-10).
• Attention to detail and accuracy in charge capture and posting.

Responsibilities

• Review clinical documentation, orders, and service records to identify billable items.
• Assign CPT, HCPCS, and ICD-10 codes and enter charges accurately.
• Review and post payments and adjustments; analyze EOBs/ERAs and EFTs.
• Escalate and resolve discrepancies; educate on best practices to ensure compliance.

Skills

Medical terminology

Coding knowledge

Attention to detail

Education

High School Diploma

GED

Job description

Job Summary and Responsibilities

As a Charge Capture Representative, you will be a central figure responsible for the accurate and timely capture of all billable services and procedures, directly impacting our revenue cycle and ensuring appropriate reimbursement. You will play a vital role in optimizing financial performance and maintaining billing compliance.

Every day, you will meticulously review clinical documentation, physician orders, and service records to identify all billable services, assign appropriate CPT, HCPCS, and ICD-10 codes, and ensure accurate charge entry. You will also collaborate with clinical departments, coders, and billing specialists to clarify documentation, resolve discrepancies, and educate on best practices, staying current with payer and regulatory changes.

To be successful in this role, you will combine a strong medical terminology background, robust coding knowledge (CPT, HCPCS, ICD-10), and exceptional attention to detail. You will demonstrate a proactive approach to resolving charge capture issues, strong analytical and communication skills, and thrive in a fast-paced environment dedicated to financial accuracy and compliance.

• Conducts appropriate reviews using critical thinking skills to understand how to transfer payments.
• Reviews and posts payments and write-off/adjustments from insurance and patients. Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary. Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy. Follows write-off approval protocols for non-routine adjustments. Completes daily posting log and quarterly cash handling audits and reports findings to Supervisor.
• Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority or to escalated following established procedures. Notifies Supervisor/Manager of ongoing issues and concerns as appropriate.
• Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Meets quality assurance and productivity standards for timely and accurate posting of payments in accordance with organizational policies and procedures.
• Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Has knowledge of, and is compliant with, government regulations including 'signature on file' requirements, compliance program, HIPAA, etc. Applies current knowledge of cash posting processes. Applies current knowledge of government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details.
• Establishes and maintains professional and effective relationships with peers and other stakeholders. Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues. Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle.

Job Requirements

Required

• High School Graduate, upon hire or
• High School GED, upon hire

Preferred

• 1-3 years One to three years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
• Graduation from a post-high school program in medical billing or other business-related field is preferred.

Where You'll Work

CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.