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Revenue Cycle Charge Specialist
2 months ago
Position Overview:
At Intermountain Healthcare, our dedicated team members, known as caregivers, are integral in enhancing the efficiency of healthcare costs and elevating the patient billing experience.
As a Revenue Cycle Charge Specialist, you will utilize your expertise in the professional revenue cycle to conduct final validation and resolution of professional claims discrepancies that do not necessitate coding proficiency.
Your responsibilities will include manual charge entry and working alongside Claims Solution Specialist-Coders to engage in ongoing improvement initiatives aimed at boosting the efficiency and precision of the professional claims workflow.
Key Responsibilities:As a Charge Capture Specialist, you will be expected to:
• Implement SCL Charge Master, compliance, and regulatory standards to accurately identify and charge for all procedures and supply costs.
• Collaborate with physicians and clinical departments to clarify documentation inquiries, employing SCL's standardized logging and communication methods.
• Identify and report deficiencies and trends to leadership and the Revenue Practice Team.
• Oversee and resolve assigned Epic work queues and billing-related correspondence in accordance with the Charge Capture and Accountability Policy.
• Detect charge issues and opportunities, providing recommendations and solutions to enhance charge capture and compliance.
• Educate clinicians, either individually or in groups, on the charge capture process in Epic and the significance of accurate documentation for effective charge capture.
Engagement in ongoing educational programs is essential to maintain a comprehensive understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques, which supports the effective application of coding guidelines and upholds the professional credentials required for this role.
Minimum Qualifications:• High School Diploma or equivalent is required.
• Additional coursework in medical terminology, anatomy, or physiology is required.
• An Associate's or Bachelor's Degree in a healthcare-related field is preferred.
• Certification as a Professional Coder (CPC), Registered Health Information Professional (RHIT), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or enrollment in a coding certificate program to be completed within nine months of employment is required.
• A minimum of one (1) year of experience in a professional or facility healthcare office, medical records, technical, or coding role is required.
• Preferred experience includes at least two (2) years in a relevant field.
Physical Requirements:
Essential Qualifications:
• Experience in medical billing is essential.
Preferred Qualifications:
• Experience in professional coding (CPT, ICD, HCPCS) and root cause analysis is advantageous.
• Ability to interact with others, necessitating effective communication of information.
• Proficiency in operating computers and office equipment, requiring dexterity in fingers and hands.
• Capability to see and read computer monitors and documents.
• Ability to remain seated or standing for extended periods while performing tasks on a computer, telephone, or other equipment.
At Intermountain Healthcare, we prioritize the well-being of our caregivers—mind, body, and spirit. We offer a comprehensive benefits package designed to promote a sustainable culture of wellness, ensuring our team members lead healthy, happy, secure, connected, and engaged lives.
We are committed to diversity, equity, and inclusion in our workplace.
Intermountain Healthcare is an equal opportunity employer.
Qualified candidates will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
