Role Description
This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Capture Specialist role, you will be able to use your attention to detail to audit and discover areas for corrections. You will be capturing charges, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.
Position Summary:
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Assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide.
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Evaluates medical records, provider notes, and dictation to determine appropriate procedure codes to assign to patient records and bills.
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Uses coding software and the company’s Charge Description Master (CDM) to create billings and charges for insurers, government agencies, and other payors.
Core Functions:
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Reviews patient records, dictated report(s), physician/provider notes using a standard listing of procedures/charge codes and/or an automated system with the company’s programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).
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Identifies opportunities for improvement in clinical documentation and shares that information with the appropriate Revenue Integrity staff.
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Maintains a current knowledge of procedural terminology requirements and documentation requirements.
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Works with other point of service charging/coding staff to maintain consistency in practice across the system.
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Works as a member of the system team to provide services and achieve goals.
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May manage supply chain functions, scheduling, provide patient services, or administrative support as assigned.
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Works independently under regular supervision using structured work procedures and independent judgment to solve problems and achieve high quality levels.
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Work output has a significant impact on business goal attainment.
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Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments, and patients/patient families.
Qualifications
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High school diploma/GED or equivalent working knowledge.
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Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit.
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Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area.
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Good understanding of reimbursement methodologies.
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Strong abilities in reading, interpreting, and communicating.
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Effective interpersonal skills, organizational skills, and team working abilities.
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Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.
Requirements
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Current Procedural Terminology (CPT) coding experience in a similar setting preferred.
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Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.
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Additional related education and/or experience preferred.
Benefits
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Estimated Pay Range: $23.62 - $35.44 / hour.
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Banner Health is committed to pay equity and transparency.
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Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location.
Company Description
Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing, and fulfillment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines.