Charge Capture Specialist

Socket.dev; Decatur (GA); On-site; USD 50,000 - 70,000; Full time

Job summary

Emory Healthcare is seeking a Billing and Charge Audit Specialist to ensure all charges are captured accurately and to maximize revenue. You will educate clinical staff on proper charting, validate charge master entries, and perform daily audits to maintain compliance and efficiency.

The role requires experience in surgical settings, familiarity with CPT/HCPCS/ICD-10, and proficiency with Surginet, Discern Analytics, and Cerner. Strong Excel skills and healthcare billing background are essential.

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.

Responsibilities

• Capture charges to maximize revenue by identifying and reconciling errors.
• Educate clinical staff on proper charting to reduce errors.
• Ensure charge master codes are added and entered correctly.
• Complete daily audits.
• Audit operative records for daily accuracy.
• Review operative records for charge errors and omissions.
• Ensure all items charged are in the charge master system.
• Develop monitoring reports to assist staff with error review and education.
• Complete daily OR efficiency and stat reports.
• Enter implant record items into operative records for charging.
• Resolve charge entry issues with appropriate contacts.
• Collaborate with Supply Chain to create training materials for charge capture education/orientation/training.
• Inform OR staff and management of charge entry changes and training.
• Work with manager on professional development.
• Attend educational in-services.
• Participate in professional activities to stay updated.

Skills

Medical terminology

Healthcare billing

Auditing

Surgical setting experience

Excel

Education

High school diploma

Associate degree preferred

Tools

Surginet

Discern Analytics

Cerner

CPT/HCPCS/ICD-10 understanding

Job description

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.