Charge Capture Analyst at RWJBarnabas Health – Oceanport, New Jersey

Job Title: Charge Capture Analyst

Location: SBC Corporation

Department Name: Patient Accounts

Req #: 0000239640

Status: Hourly

Shift: Day

Pay Range: $19.72 - $27.85 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

Under the direction of the Revenue Cycle Manager, the Charge Capture Analyst is responsible for reviewing all CINJ/RWJBH Medical Oncology and Hematology medical record and reconcile all appropriate charges, make modifications to the charges as necessary and update the financial system. Also monitor and correct charge exceptions, delinquent data, and discharges.

Qualifications:

Required:

• HS diploma or GED equivalent
• Minimum of 2-5 years of facility and/or practice billing experience required.
• Experience in charge capture, chart review, ICD-10, CPT/HCPCS coding and billing and reimbursement knowledge surrounding UB-04 claim submission required.
• Effective communication, analytical, organizational skills.
• Medical terminology knowledge required.
• Demonstrates knowledge of proficiency of standard PC word processing, spreadsheets (Word and Excel).

Preferred:

• College degree preferred
• Certified Coding Specialist (CSS) or Certified Professional Coder (CPC)

Scheduling Requirements:

• Full-Time, Hourly position– 37.5 hours a week
• Travel to Oceanport, NJ as needed

Essential Functions:

• Understands charging process and compliance issues and has the ability to provide resolution with the assistance and guidance of the Revenue Cycle Manager.
• Review the EPIC patient billing reports on a daily basis.
• Review the EPIC patient billing patient reports on a daily basis.
• Reports will need to be referenced as the charge capture specialist reconciles the billing designation of charges.
• Responsible for timely review, audit and reconciliation of financials including invoicing and reconciliation process.
• Responsible for timely correction made on all encounters that need corrections.
• Works collaboratively with CINJ clinical staff to review and maintain integrity of clinical documentation and protocol data.
• Maintains strong knowledge of EPIC and ONCORE applications.
• Interpret contract and protocol language to ensure proper charge reconciliation and billing designation.
• Attends to and resolves issues indicated on EPIC work queues and other edit applications related to CINJ accounts.
• Analyzes manual and computer reports to identify problem areas such as accounts holding on DNFB that should have been billed but were not due to inaccurate or missing information.
• Responsible for supporting hospital charge capture and revenue improvement initiatives.
• Understands the importance of Communication and follows up with electronic and voice messages to/from staff.
• Maintains confidentiality of patients information at all times.
• Demonstrates a thorough working knowledge of medical and pharmaceutical terminology, ask questions to clarify misunderstandings.
• Assist Revenue Cycle Manager with special projects needed.
• Supports and enhances the compliance efforts of the hospital by adhering to the regulatory, departmental and organizational guidelines relating to charging for services.
• Uses billing expertise to compare the medical record documentation, billing system and patient account charge detail in EPIC to the individual items billed.
• Works well independently in remote office and is available during scheduled work hours.
• Scheduled work hours will be a combination of working from home and on site.
• Must possess the ability to organize work effectively, manage multiple concurrent priorities with competing deadlines and pay careful attention to detail and presentation.
• Other duties as needed
• Adheres to patient rights: provides for the confidential treatment of all communications and records,
• Demonstrates professionalism with families, visitors, physicians, co-workers and supervisors,
• Supports teamwork by cooperative problem solving through participation in meetings, projects, etc.
• Utilizes principles of continuous quality improvement in all work situations to assess, measure and improve organizational and department functions.
• Organizes work sets priorities with a minimum of supervision and seeks guidance as appropriate.
• Makes decisions that are timely and consistent with department, objectives, policies and procedures.
• Participates in ongoing education as required.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer