Charge Capture Specialist - ED Revenue Cycle Expert

Northeast Georgia Health System; Atlanta (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

Northeast Georgia Health System is seeking a Revenue Cycle professional focused on ED charge capture and accurate medical billing. You will identify chargeable ED services, calculate E/M levels, enter charges within 72 hours of discharge, and collaborate with nursing staff to ensure documentation supports charges.

Responsibilities include rebill projects, working with McKesson systems, and maintaining a high completion rate while communicating across clinical and billing teams.

Qualifications

• High School Diploma or GED required.
• Minimum two years hospital, medical, or billing experience.
• Working knowledge of medical terminology, anatomy, physiology, medications, and CPT/HCPCS.
• Excellent communication and interpersonal skills.

Responsibilities

• Identify all chargeable ED services and supplies.
• Calculate ED E&M level.
• Identify infusion, injection, and transfusion charges per CPT hierarchy guidelines for ED and outpatient/bedded outpatient services.
• Enter charges, quantities, and modifiers, when indicated, within 72 hours of the patient's discharge.
• Maintains greater than 97% completion rate of charges in less than 72 hours.
• Identify deficiencies or discrepancies in nursing and/or physician documentation that affects billing and notifies the originator of the incorrect documentation to allow for proactive improvements.
• Collaborate with Nurse Auditor on routine and special project analysis to assure the accuracy and completeness of charges captured for insurance and patient billing of inpatient and outpatient hospital services.
• Assist special projects related to charge capture and rebill projects.
• Collaborate and assist other departments to address charge capture/documentation issues and assist with the development of educational opportunities.
• Serve as a communication link between clinical/billing personnel and other reimbursement specialists in discussing issues, recommendations, solutions, and answering questions related to patient charges, auditing, and charge master.
• Perform other duties as assigned.

Skills

Medical terminology

CPT/HCPCS knowledge

Microsoft Office

Communication skills

Reading medical records

Education

High School Diploma or GED

Tools

McKesson

Job description

Northeast Georgia Health System is seeking a Revenue Cycle professional focused on ED charge capture and accurate medical billing. You will identify chargeable ED services, calculate E/M levels, enter charges within 72 hours of discharge, and collaborate with nursing staff to ensure documentation supports charges.

Responsibilities include rebill projects, working with McKesson systems, and maintaining a high completion rate while communicating across clinical and billing teams.