Charge Capture Specialist in New Brunswick, New Jersey at RWJBarnabas Health

Job Title: Charge Capture Specialist

Location: Main Hospital - New Brunswick

Department Name: Perioperative Support Services

Req #: 0000254359

Status: Salaried

Shift: Day

Pay Range: $51,729.60 - $62,067.20 per year

Pay Transparency:

The above reflects the anticipated annual salary 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.

Section I: Job Identification

Company Name: NBR Job Code: S0731

Job Title: Charge Capture Specialist

Dept/CC#: 1191025

Department Name: Perioperative Support Services Section Name:

Reports To: Director Perioperative Services

OSHA Classification:

Salary Grade: FLSA Status:

_

Section II: Summary of Job Function:

Under the direction of the Director of Perioperative Business Operations, the charge capture specialist is responsible for understanding the charge capture audit System tools and business procedure in order to improve the accuracy and efficiency of the charge capture phase of the revenue cycle,

Oversees and responsible for the management of the Perioperative Services Billing for both the Adult and Pediatric operating room, Morris Cancer Center, Ambulatory Surgical pavilion and Endoscopy unit,

Ensuring the accurate assignment of charge levels to patients for services received in the Operating room, including the review and analysis of financial report and the reconciliation of data in EPIC, SCM and EDIM systems for billing purposes,

Achieve high customer satisfaction by building relationships with CDM specialist, medical records, finance patient accounting department and demonstrates a keen understanding of the revenue cycle function,

Responsible for validating and reconciling all Department charges by reviewing the medical record,

Monitors and corrects charge exceptions, delinquent data, discharges and MD reports,

Works closely with Health Information Management, Patient Access Management and Financial Services to ensure accuracy in charge capture and billing,

Is responsible for reporting identified safety issues such as hazardous environments (i,

e,

damaged floors/walls/ceiling tiles/unsecured areas) and medical errors, etc,

Section III: Job Qualifications/Education/Training/Certification/Licensure:

Education:

High School Diploma or equivalent required,

Bachelors Degree (BA or BS) or equivalent experience in business, finance or health related field preferred,

Experience: Hospital billing experience preferred,

Experience in charge capture, chart review, and chart auditing required,

Minimum of 2-5 years of financial experience required,

CPT/HCPS coding experience, billing and reimbursement knowledge surrounding UB-04 claim submission,

Demonstrates progressive responsibilities in healthcare,

Effective communication, analytical, organizational skills,

Knowledge/Skills/Abilities,

Knowledge of computers and medical terminology required,

Microsoft Office required,

Work Environment and Hazards:

Exposure to Operating Room sights and sounds,

Special Physical Demands

Sitting for long periods of time, able to read printed material, without strain must have good eye hand coordination and manual dexterity,

Special Physical Demands:

Must meet requirements of the ADA (attached)

Work Contact Group/Additional Responsibilities

Interrelationships:

Interacts with physicians, office staff, and patients, if applicable, in a professional and courteous manner,

Finance Dept,

, Patient Access Management, Health Information Management, Computer Services, Perioperative Services Staff and Physicians,

Section 1: Job-Specific Requirements of P

Section 1: Job Specific Requirements (15 Maximum)

current charts, from designated locations at the nurse s station,

2) Processes previous day s charts, including admitted charts, by sorting documentation required for HIM, Perioperative Leadership Team,

3) Enters and reconciles charges for all surgical services patients,

Enter charge code on EPIC system,

4) Reviews and analyzes multiple EPIC,EDIM, SCM and RAS viewer reports, verifying accuracy of data (i,

e,

patient data, dispositions, duplication of information), and reconciling any discrepancies between these three systems in order to facilitate the billing process,

Communicates any relevant information to related departments (i,

e,

HIM records, finance, admitting and information systems),

5) Maintains confide of patients information at all times,

6) Must possess the ability to organize work effectively, manage multiple concurrent priorities with competing deadlines and pay careful attention to detail and presentation,

7) Maintains strong knowledge of Epic System,

8) Responsible for follow-up on missing documentation,

Reviews daily schedule and reconciles Operative Record for each patient,

9) Completes the HIM Reconciliation Form daily based on review of the Daily Log report,

The names of patients registered/discharged and the status of their charts are also reported on this form,

10) Responsible for supporting hospital charge capture and revenue improvement initiatives,

11) Special projects to improve resource cycle outcomes,

Supports and enhances the compliance efforts of the hospital by adhering to the regulatory, departmental and organizational guidelines relating to charging for services,

12) Works closely with CDM Specialist, medical records, finance, patient accounting departments and site Directors to follow up and resolve charge capture issues,

13) Understands the importance of communication,

Follow through on messages and to the appropriate staff member,

14) Utilizes time in a manner which maximizes individual and departmental performance objectives,

Displays flexibility in prioritizing assignments,

Works harmoniously with other staff, promotes the hospital s guest relations program, and acts as a resource,

Section 2: Universal S,

A,

F,

E,

T,

Y,

Standards

Universal S,

A,

F,

E,

T,

Y,

Standards (STANDARDIZED FOR ALL STAFF)

Section 3: Unit/ Dept,

Specific Competencies: (If Applicable)

1)

2)

3)

Generic Age Specific Competencies