Charge Capture Specialist
1 month ago
Job Title:
Charge Capture Specialist
Department:
Materials Management
Reports To:
Director of Materials
FLSA Status:
Non-Exempt
Date:
4/16/2024
Position Summary
Charge Capture Specialist is responsible for ensuring that all charges for supplies are captured and added to the encounter. This includes identifying, analyzing, reading and reconciling against nursing and physician documentation which are in paper format. Employee performs the charge capture job demonstrating technical ability, understanding of job expectations and compliance with organization policies and procedures. The hospital utilizes a Electronic Medical Record, Athena, which is a manual system. This role will help to improve our paper/manual processes to best processes despite the process are not electronic or digitized.
Essential Duties & Responsibilities
- Identify, coordinate, prioritizes daily work related to Woodlands Specialty Hospital’s supply charge capture activities
- Works daily to capture charges for supplies based on daily delegation of work by senior employee in charge capture, updates and communications with revenue cycle team on any charges which are duplicated or expired
- Communicates daily, weekly with leaders and revenue cycle on metrics and backlog proactively. Completes daily activity of Supply Charge Capture given by Team Lead or Supervisor to ensure there is no backlog which delays billing as the processes are manual, communication will occur daily, weekly, consistently
- Works with Nursing, Agency Nurses, Third Party Vendors, Accounting Staff or Supply Reps who come to the Operating Room and facilitates securing purchase orders and invoices in a timely manner to avoid billing delays. Hands off invoices to Accounting/Accounts Payable in an organized manner
- Work closely with Operating Room Team and Medical Records to hand off a fully complete billable chart to revenue cycle
- Analyzes, recommends, and implements policies and procedures as needed to maximize reimbursement for all services rendered in compliance with established commercial payer guidelines
- Completes regular audits of Master file to ensure data integrity
- Ensures charge corrections are entered into Athena timely and accurately
- Coordinates special projects to correction staff and assure timely completion, on occasion is willing to work overtime for special projects
- Responds to questions from department Coding Coordinators, clinic operations and other revenue cycle staff
- Performs other duties as requested or assigned by Team Lead, Supervisor, Revenue Cycle Team or other leaders
Safety/Infection Control
- Demonstrate knowledge of and adhere to regulations and company policies and
procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials
Performance Improvement
- Participate in performance improvement activities as necessary
Customer Service
- Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations.
- Demonstrate effective interpersonal skills
- Treat all patients, visitors, and staff members fairly and with respect
- Utilize effective communication methods and skills
Company Policy
- Ensure personal appearance is business casual and professional at all times
- Responsible for wearing identification badge at all times which must be visible and above the waistline
- Attend all required meetings and in-service education
- Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments
- Compliance with attendance standards
- Demonstrate flexibility when changes in assignments are necessary
EDUCATION & EXPERIENCE
- High school graduate or equivalent
- Ability to read and communicate effectively in English.
- Basic computer knowledge.
- Knowledge of medical terminology.
- Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
- Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations
- Basic computer skills
- n/a
Competencies
- Professional Maturity: The ability to separate emotional feelings from the real issues at hand
- Responsibility: The ability to accept choices you have made and the results they have led to
- Communication: The ability to write and speak effectively; actively listens to others, and give feedback
- Flexibility: Demonstrate responsiveness and adaptability following change initiatives
- Intelligence: Understand information and apply new knowledge
- Energetic: Exhibits high levels of energy and enthusiasm
- Organized: Efficient in structuring tasks to be accomplished
- Computer Savvy: The ability to use technology efficiently and effectively
- Customer Service: The ability to enhance customer satisfaction
- Job Knowledge/Technical Knowledge: Knowledgeable of current role and technical systems, and the impact it has on the organization
- Integrity and Respect: Demonstrates upmost level of integrity
- Interpersonal Communication: Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation
- Collaboration and Partnership: Encourages participation from team members
- Manages Change: Demonstrates flexibility with changing environments
- Problem Solving: Resolve issues in a timely manner
- Attention to Detail: Follows procedures to ensure entry of data
- Organization: Uses time efficiently by prioritizing and planning work activities
- Judgment: Ability to make independent decisions
- Teamwork: Works with others to accomplish objectives and shows support for decisions
- Quality: Sets high standards to ensure quality in work performed
- Accountability: Takes responsibility for adhering to all company policies, procures, and performance expectations
Physical Demands
- The physical demands for this position include: adequate vision, hearing, and repetitive motion
- Light physical activity performing non-strenuous daily activities of an administrative nature
- Ascending or descending stairs, ramps and the like, using feet and legs and/or hands and arms
- Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner
- Bending legs downward and forward by bending leg and spine
Work Environment
- Well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation
Employee Signature
Printed Name
Employee Signature Date
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