Revenue Integrity 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

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.