Charge Capture Clerk - Full Time

Uintah Basin Medical Center

Roosevelt (UT)

On-site

USD 40,000 - 65,000

Full time

6 days ago
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Job summary

Uintah Basin Medical Center is seeking a Revenue Integrity/Charge Capture Auditor to review patient charges and ensure documentation aligns with payer guidelines. You will verify that charges are captured accurately and in a timely manner.

The role emphasizes accuracy and compliance within the charge capture process. Responsibilities include conducting reviews within 3 days of discharge, performing audits to identify missed charges, and collaborating with coding, billing and clinical staff to

Qualifications

  • Review clinical documentation to ensure all service charges are accurately captured per payer guidelines.
  • Conduct charge reviews within 3 days of discharge.
  • Adhere to Medicare, Medicaid and third-party payor rules.
  • Perform audits to identify missed charges and opportunities for process improvement.
  • Collaborate with coding, billing and clinical teams to resolve issues.

Responsibilities

  • Reviews clinical documentation to ensure all service charges are accurately captured in accordance with payer guidelines.
  • Conducts charge reviews within 3 days of discharge.
  • Adheres to rules from regulatory bodies like Medicare and Medicaid, as well as other third-party payors.
  • Conducts audits to identify missed charges, reduce errors, and find areas for improvement within the charge capture process.
  • Works with various departments, such as coding, billing, and clinical care, to solve problems and improve processes.
  • Reports any problems to the department manager.

Skills

Charge capture
Medical records
Auditing
Payer guidelines
HIPAA knowledge

Job description

Job Summary: Responsible for reviewing patient charges to ensure that charges and documentation are aligned with each other. Works closely with the Medical Records staff and clinical departments.

Duties and Responsibilities

  • Reviews clinical documentation to ensure all service charges are accurately captured in accordance with payer guidelines.
  • Conducts charge reviews within 3 days of discharge.
  • Adheres to rules from regulatory bodies like Medicare and Medicaid, as well as other third-party payors.
  • Conducts audits to identify missed charges, reduce errors, and find areas for improvement within the charge capture process.
  • Works with various departments, such as coding, billing, and clinical care, to solve problems and improve processes.
  • Reports any problems to the department manager.
  • Must be familiar with the following manuals: Health Information Management Department, HIPAA.
  • Willing to accept additional assignments

Professional Requirements

  • Ensures that appearance and personal conduct are always professional.
  • Answers the telephone in a polite and timely manner.
  • Demonstrates ability to be flexible, organized, and function well in stressful situations.
  • Excellent attendance record.
  • Wears appropriate clothing for job functions. Wears ID badge.
  • Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
  • Represents the organization positively and professionally in the community.
  • Maintains patient confidentiality at all times.
  • Complies with all organizational policies regarding ethical business practices.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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