CHARGE CAPTURE ANALYST - HIM Dept - Full Time - Days

Charge Capture Analyst - Full Time - Health Information Management

Shift: 7:30am - 4:00pm

Job Description:

MUST HAVE 2 YEARS CODING, CHARGE CAPTURE, OR BILLING IN ER OR ACUTE CARE SETTING. CCS OR CPC Certification is preferred.

PATIENT POPULATION:

The patient population served is all patients, including geriatric, adult, adolescent, pediatric, and newborn.  This also includes services which affect facility staff, physicians, visitors, vendors and the general public.

POSITION SUMMARY:

Under the direction of the Department Leadership, the Charge Capture Analyst is responsible for ensuring accurate and timely charge capture for services. This includes reviewing clinical documentation, coding guidelines, and billing practices to identify incorrect or incomplete charges. The analyst works closely with clinical staff, coders, revenue integrity, and billing departments to ensure compliance and maximize reimbursement.

Must be able to work normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours. As a designated disaster service worker, you are required to assist in times of need pursuant to the California Emergency Services Act.

(Gov’t. Code §§ 3100, 3102)

Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.

The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual has at least 2 years of experience in charge capture, coding, and/or billing within an Emergency Department or acute care setting. 

Must have a working knowledge of CPT, HCPCS, ICD-10 and E/M coding guidelines.

Is Familiar with electronic health records (EHR) systems. 

Associate's or Bachelor's degree in Health Information Management Healthcare Administration, or related field preferred.

Proficient in reading and interpreting various documents, including safety guidelines, operational procedures, maintenance instructions, and manuals. Capable of preparing routine reports and correspondence as needed.  Ability to speak and write in English, with the ability to write clearly, comprehend verbal and written instructions, and follow directions accurately.

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.           

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.            

To perform this job successfully, an individual should have basic computer skills.

LICENSURE/CERTIFICATIONS:

Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is preferred.                                                                              

ESSENTIAL FUNCTIONS:                                                                                                                       

• Regular, punctual attendance and physical presence at the assigned work location and workstation, ready to perform job duties at the scheduled start time.
• Review daily encounters for completeness and accuracy of charges.
• Monitor charge reconciliation reports to identify and correct missing or delayed charges.
• Collaborate with clinical staff to clarify documentation that supports charge capture.
• Ensure that all CPT/HCPCS codes are correctly assigned based on services rendered and documentation provided.                                                
• Identify trends in charge errors or omissions and provide feedback to department leaders for process improvement.
• Assist in charge entry and correction of erroneous charge capture processes.
• Educate clinical staff on proper documentation and charge capture processes as needed.
• Perform audits of charts to ensure documentation supports billed services and aligns with payer guidelines.
• Participate in meetings related to revenue cycle performance, charge integrity, and documentation improvement for.
• Maintain knowledge of billing regulations and coding updates relevant to the setting.
• Documentation reflects compliance with established Hospital policies and procedures.

OTHER FUNCTIONS:

• NA

NOTE: Every effort has been made to make this job description as complete as possible. However, it is in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.