Clinical Charging Specialist
4 weeks ago
POSITION SUMMARY/RESPONSIBILITIES
The Clinical Charging Specialist is responsible for ensuring accurate and complete charge capture across all clinical charging services lines at University Health. This role serves as the primary point of contact and subject matter expert for assigned clinical charging departments, providing exceptional service and support to these teams.
KEY RESPONSIBILITIES
- Monitor and analyze charge capture data to identify trends and areas for improvement
- Collaborate with clinical department leaders, nursing staff, and other stakeholders to resolve charging-related issues
- Develop and implement process improvements to enhance charging practices and revenue integrity
- Provide education and training to clinical staff on charging procedures and best practices
- Ensure compliance with regulatory requirements and University Health policies
REQUIREMENTS
- Bachelor's degree in Accounting, Finance, or Healthcare
- Minimum two years of experience in hospital Revenue Integrity, Charge Capture, or related field
- Strong analytical and problem-solving skills, with ability to work in a fast-paced environment
- Excellent communication and interpersonal skills, with ability to build strong relationships with clinical staff and other stakeholders
EDUCATION/EXPERIENCE
Bachelor's degree in Accounting, Finance, or Healthcare is required. Equivalent technical or clinical experience may be considered in lieu of education. Minimum two years experience with hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and/or Clinical Documentation Improvement required. Knowledge of medical terminology and coding required. Experience working within the Epic hospital information systems environment required. Experience with PC applications such as MS Office Suite (Excel, Power Point, Word, Access), MedAssets, Hospital Information Systems (Epic, 3M) required. Epic Certification in HB Resolute highly preferred. Experience with payer reimbursement methodologies (Commercial and Government) preferred. Experience with analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums preferred. Experience participating in a revenue integrity program preferred.
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