Revenue Integrity & Charge Capture Specialist

Northeast Georgia Health System; Gainesville (GA); Remote; USD 52,000 - 66,000; Full time

Job summary

Northeast Georgia Health System is seeking a Revenue Cycle Charge Capture Specialist to ensure accurate ED charges and timely coding based on CPT/HCPCS guidelines. You will review documentation, calculate E&M levels, and enter charges within 72 hours of discharge.

The role emphasizes collaboration with nursing, physicians, and other departments to correct discrepancies and improve charge capture, with a focus on compliance and efficiency.

Qualifications

• Must have a High School Diploma or GED.
• Minimum two years hospital, medical, or billing experience.
• Working knowledge of medical terminology, anatomy, physiology, medications, and CPT/HCPCS.
• Ability to read and interpret medical records and documentation.
• Demonstrated professionalism in phone and in-person interactions.

Responsibilities

• Identify all chargeable ED services and supplies.
• Calculate ED E&M level.
• Identify infusion, injection, and transfusion charges per CPT guidelines.
• Enter charges, quantities, and modifiers within 72 hours of discharge.
• Maintain >97% completion rate of charges within 72 hours.
• Identify deficiencies in nursing/physician documentation affecting billing and notify originators for improvement.
• Collaborate with Nurse Auditor on charge capture accuracy.
• Assist with special charge capture/rebill projects.
• Support other departments to address charge capture issues and develop educational opportunities.
• Serve as a liaison between clinical and billing staff.

Skills

Medical terminology

Anatomy/Physiology

CPT/HCPCS

Communication

Problem solving

Detail oriented

Keyboarding

Reading/Writing/Reasoning

Education

High School Diploma or GED

Tools

Microsoft Office

EMR systems

Job description

Northeast Georgia Health System is seeking a Revenue Cycle Charge Capture Specialist to ensure accurate ED charges and timely coding based on CPT/HCPCS guidelines. You will review documentation, calculate E&M levels, and enter charges within 72 hours of discharge.

The role emphasizes collaboration with nursing, physicians, and other departments to correct discrepancies and improve charge capture, with a focus on compliance and efficiency.