Charge Capture Specialist

Physicians Regional Medical Center - Collier; Naples (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

Physicians Regional Medical Center - Collier is seeking a Charge Capture Specialist to review, audit, and reconcile clinical and procedural documentation to ensure accurate charge capture for billing and revenue integrity. You will collaborate with clinical departments, coding, and revenue cycle teams, follow billing guidelines, train staff, and identify trends to reduce errors and revenue leakage.

Strong attention to detail and the ability to work independently in a fast-paced hospital

Qualifications

• Knowledge of hospital/physician charge capture workflows and revenue cycle processes.

Responsibilities

• Review daily unbilled and discharged account reports to reconcile charges with documentation.
• Audit patient records to identify missing or delayed charges and resolve discrepancies.
• Support charge entry education and process improvement to reduce errors.
• Monitor unbilled accounts and communicate issues to leadership.
• Identify trends in underpayments and denials and escalate findings.
• Assist in training materials related to charge capture practices.
• Follow coding, billing, and documentation guidelines to maintain compliance.
• Perform other duties as assigned.
• Maintain regular attendance and comply with policies.

Skills

Knowledge of charge capture workflows

Billing regulations & documentation

Analytical problem solving

Communication with stakeholders

EHR proficiency

Microsoft Office proficiency

Education

Associate Degree in Health Information Management or related field

Tools

EHR systems

Billing systems

Microsoft Office

Job description

Job Summary

The Charge Capture Specialist is responsible for reviewing, auditing, and reconciling clinical and procedural documentation to ensure accurate and timely charge capture for billing purposes. This role supports revenue integrity by identifying errors, omissions, and opportunities for improvement in the charge entry process. The Charge Capture Specialist collaborates with clinical departments, coding, and revenue cycle teams to ensure compliance with billing regulations and organizational policies.

Essential Functions

• Reviews daily unbilled and discharged account reports to reconcile charges with clinical documentation and ensure completeness.


• Audits patient records to identify missing, inaccurate, or delayed charges and works with departments to resolve discrepancies.


• Supports departments with charge entry education and process improvement to enhance compliance and reduce billing errors.


• Monitors unbilled accounts and communicates outstanding issues to department leaders and staff to support revenue cycle goals.


• Identifies trends in underpayments, denials, and revenue leakage, and escalates findings to appropriate stakeholders.


• Assists in the development and delivery of training materials for clinical and administrative staff related to charge capture practices.


• Follows all applicable coding, billing, and documentation guidelines to maintain compliance with industry standards.


• Performs other duties as assigned.


• Maintains regular and reliable attendance.


• Complies with all policies and standards.

Qualifications

• Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred


• 2-4 years of experience in charge entry, billing, coding, or healthcare revenue cycle required

Knowledge, Skills and Abilities

• Knowledge of hospital and physician charge capture workflows and revenue cycle processes.


• Familiarity with coding guidelines, billing regulations, and documentation requirements.


• Strong analytical and problem-solving skills to identify discrepancies and revenue opportunities.


• Ability to communicate effectively with clinical and non-clinical stakeholders.


• Proficiency in electronic health records (EHR), billing systems, and Microsoft Office.


• Attention to detail and ability to work independently in a deadline-driven environment.

Licenses and Certifications

• Certified Professional Coder (CPC) preferred


• RHIT - Registered Health Information Technician preferred