Charge Capture Review Specialist in Pigeon, Michigan at Scheurer Hospital Inc

Fiscal Services Business Office

Charge Capture Review Specialist

Full-Time Position/40 hours per week

Shift Hours M-F, 8AM – 4:30PM

Full Benefits

Scheurer Health, a Critical Access rural hospital, is seeking a highly organized and detail-oriented candidate to join our team. The Charge Capture Review Specialist ensures accurate, compliant, and timely charge capture for Scheurer Health Family Practices and Specialty services. This role focuses on reviewing clinical documentation to verify that services are medically necessary and that the documentation supports the level of Evaluation and Management (E/M) services billed and/or procedures. The ideal candidate will have strong knowledge of coding guidelines, payer requirements, and healthcare documentation standards.

Responsibilities:

• Review patient medical records, physician documentation, and orders to review and assign accurate ICD-10-CM, CPT and HCPCS codes
• Apply appropriate modifiers to professional charges
• Identify and resolve missing charges, duplicate charges, incorrect units, invalid modifiers, and mismatch diagnosis to procedure coding
• Apply CPT Category II codes as necessary
• Communicate effectively with Physicians, Advanced Practice Providers, Social Workers, and other clinical staff to clarify documentation and resolve queries
• Ensure adherence to correct coding initiative and medical necessity guidelines
• Stay up to date on coding changes related to Scheurer Health Providers Practices
• Maintains strict adherence to HIPPA guidelines, Protected Health Information (PHI) policies and organizational compliance standards
• Collaborate with billers about diagnosis and documentation claim denials and appeals

Requirements:

• High school diploma or equivalent
• Strong knowledge of IDC10, CPT, HCPC and modifiers
• Knowledge of Rural Health Clinic State and Federal requirements
• Excellent communication and customer service skills
• Ability to work independently and meet deadlines
• Proficient in Microsoft Office and billing software

Benefits

• Competitive pay
• Paid Time Off (PTO)
• Health, Vision, Dental and Life Insurance
• Short-Term and Long-Term Disability Insurance
• 401k with matching funds
• Safe Work Environment

For questions regarding this position, please contact Jaime Shepherd, Revenue Cycle Director or Lynn Abbe, HR Generalist. Please submit all employment applications online at www.scheurer.org/careers . EEO/AA/Employer M/F/Disability/Vet