Pharmacy Charge Capture Analyst

16 hours ago

Jupiter, Florida, United States Jupiter Medical Center Full time
Job Summary

Jupiter Medical Center is seeking a highly skilled Pharmacy Charge Capture Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the accuracy and efficiency of our pharmacy charge capture process.

Responsibilities
  • Verify proper documentation for Medicare medication waste and apply appropriate charges.
  • Conduct daily/weekly/monthly audits of pharmacy medication charges to ensure accuracy and compliance.
  • Work with the Failed Claim Report, HL7 Report, and daily Pharmacy High Dollar report to resolve errors and make charge corrections.
  • Collaborate with Health Information Management, clinical departments, and Patient Financial Services to resolve coding edits and billing errors.
  • Implement initiatives to ensure accurate and efficient charge capture and charge reconciliation processes.
Requirements
  • Associate Degree and/or completion of a relevant formal certification program.
  • Current CPhT, CPC, CCS, CCA, COC, CRC, RHIA, and/or RHIT certification required or scheduled/obtained within six months of hire date.
  • Minimum of one-year related work experience in outpatient and/or acute care hospital coding and/or pharmacy preferred.
Preferred Qualifications
  • Comprehensive knowledge of hospital revenue cycle operations, hospital charge masters, and hospital department charge capture and charge reconciliation.
  • Knowledge of NDC numbers, Medicare billing units, and correct coding principles of CPT/HCPCS, ICD-10, and modifier selection.
  • Comprehensive understanding of Federal, State, and Local coding guidelines and payment methodologies.
About Us

Jupiter Medical Center is a leading destination for world-class healthcare in Palm Beach County and the greater Treasure Coast. We are committed to providing exceptional patient care and are dedicated to making a positive impact in our community.

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