Charge Capture Review Specialist

Scheurer Hospital; McKinley Township (MI); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Full benefits

PTO

401k with matching

Health, Vision, Dental, and Life Ins.

Short-Term and Long-Term Disability

Job summary

Scheurer Health is seeking a Charge Capture Review Specialist to join our Revenue Cycle team in Pigeon, MI. This full-time, 40-hour-week role ensures accurate, compliant charge capture for family practice and specialty services.

You will review documentation to verify E/M services billed match medical necessity and coding guidelines. Ideal candidates have strong ICD-10, CPT, HCPCS knowledge, excellent communication skills, and proficiency with Microsoft Office and billing software.

Qualifications

• High school diploma or equivalent.
• Strong knowledge of IDC10, CPT, HCPC and modifiers.
• Knowledge of Rural Health Clinic State and Federal requirements.
• Excellent communication and customer service skills.

Responsibilities

• Review patient records, physician documentation, and orders to review and assign accurate ICD-10-CM, CPT and HCPCS codes.
• Apply appropriate modifiers to professional charges.
• Identify and resolve missing charges, duplicate charges, incorrect units, invalid modifiers, and mismatch diagnosis to procedure coding.
• Apply CPT Category II codes as necessary.
• Communicate effectively with Physicians, Advanced Practice Providers, Social Workers, and other clinical staff to clarify documentation and resolve queries.
• Ensure adherence to correct coding initiative and medical necessity guidelines.
• Stay up to date on coding changes related to Scheurer Health Providers Practices.
• Maintains strict adherence to HIPPA guidelines, Protected Health Information (PHI) policies and organizational compliance standards.
• Collaborate with billers about diagnosis and documentation claim denials and appeals.

Skills

ICD-10/CPT/HCPCS coding knowledge

Communication skills

Microsoft Office proficiency

Independent work / time management

Education

High school diploma or equivalent

Tools

Microsoft Office

Billing software

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Charge Capture Review Specialist

REVENUE CYCLE Full Time Scheurer Primary Care - Pigeon, Pigeon, MI, US

2 days ago Requisition ID: 1361

Fiscal Services Business Office

Charge Capture Review Specialist

Full-Time Position/40 hours per week

Full Benefits

Scheurer Health, a Critical Access rural hospital,is seeking a highly organized and detail-oriented candidate to join our team. The Charge Capture Review Specialist ensures accurate, compliant, and timely charge capture for Scheurer Health Family Practices and Specialty services. This role focuses on reviewing clinical documentation to verify that services are medically necessary and that the documentation supports the level of Evaluation and Management (E/M) services billed and/or procedures. The ideal candidate will have strong knowledge of coding guidelines, payer requirements, and healthcare documentation standards.

Responsibilities:

• Review patient medical records, physician documentation, and orders to review and assign accurate ICD-10-CM, CPT and HCPCS codes
• Apply appropriate modifiers to professional charges
• Identify and resolve missing charges, duplicate charges, incorrect units, invalid modifiers, and mismatch diagnosis to procedure coding
• Apply CPT Category II codes as necessary
• Communicate effectively with Physicians, Advanced Practice Providers, Social Workers, and other clinical staff to clarify documentation and resolve queries
• Ensure adherence to correct coding initiative and medical necessity guidelines
• Stay up to date on coding changes related to Scheurer Health Providers Practices
• Maintains strict adherence to HIPPA guidelines, Protected Health Information (PHI) policies and organizational compliance standards
• Collaborate with billers about diagnosis and documentation claim denials and appeals

Requirements:

• High school diploma or equivalent
• Strong knowledge of IDC10, CPT, HCPC and modifiers
• Knowledge of Rural Health Clinic State and Federal requirements
• Excellent communication and customer service skills
• Ability to work independently and meet deadlines
• Proficient in Microsoft Office and billing software
• Competitive pay
• Paid Time Off (PTO)
• Health, Vision, Dental and Life Insurance
• Short-Term and Long-Term Disability Insurance
• 401k with matching funds

For questions regarding this position, please contact Jaime Shepherd, Revenue Cycle Director or Lynn Abbe, HR Generalist.

EEO/AA/Employer M/F/Disability/Vet