ED Charge Capture Specialist: Accurate, Timely Billing

Northeast Georgia Medical Center; United States; Remote; USD 42,000 - 65,000; Full time

Job summary

Northeast Georgia Health System is seeking a Revenue Cycle professional focused on accurate charge capture within hospital billing policies and clinical documentation practices. The role uses the hospital's electronic systems and manual processes to review medical records and correct charge capture errors.

Responsibilities include identifying chargeable ED services, calculating E/M levels, and entering charges within 72 hours of discharge.

Qualifications

• High School Diploma or GED is required.
• Minimum two (2) years hospital, medical, or billing experience.

Responsibilities

• Identify all chargeable ED services and supplies.
• Calculate ED Evaluation and Management (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.
• Maintain 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 notify the originator for proactive improvements.
• Collaborate with Nurse Auditor on routine and special project analysis to assure accuracy and completeness of charges captured for insurance and patient billing.
• Assist special projects related to charge capture and rebill projects.
• Collaborate with other departments to address charge capture/documentation issues and assist with educational opportunities.
• Serve as a communication link between clinical/billing personnel and other reimbursement specialists.

Skills

Medical terminology

Anatomy & physiology

Problem solving

Attention to detail

Phone & in-person communication

Education

High School Diploma or GED

Tools

Microsoft Office

McKesson

Job description

Northeast Georgia Health System is seeking a Revenue Cycle professional focused on accurate charge capture within hospital billing policies and clinical documentation practices. The role uses the hospital's electronic systems and manual processes to review medical records and correct charge capture errors.

Responsibilities include identifying chargeable ED services, calculating E/M levels, and entering charges within 72 hours of discharge.