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Charge Capture Specialist - Mountain View, United States - El Camino Hospital
Description
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward.
We are proud of our reputation in the community:One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.
Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.
FTE
1
Scheduled Bi-Weekly Hours
80
Work Shift
Day: 8 hours
Job Description
This position is responsible for timely, accurate charge capture entry for the assigned Service Line/unit into the billing database for analysis.
The goal is to take advantage of all opportunities for patient reimbursement as documented in the patient record in a cost-effective manner while complying with federal/state and APC guidelines.
Emergency Dept:
The Charge Capture Specialist provides organizational duties and support for employees who perform Charge Capture for the Emergency Department.
The specialist performs monthly audits of CCC staff and manages frequent complex interactions with many internal and external contacts as required for compliance, audits and accuracy.
This role interacts with Charge Capture Supervisor, Director of Revenue & Reimbursement, Manager Charge Master, internal audit representatives, client relations, nurse auditors, corporate compliance officer, HIMs and billing coders, ED physician group, Lynx representatives, & IT staff.
Under the direction of the Charge Capture Supervisor, performs account reviews and investigations, HBOC late charge entry, cross report facility reconciliations, daily charge capture audit (CCA) exceptions and meeting minutes.
Assists the supervisor in updated information and education on an on-going basis to nursing and Charge Capture Coordinator staff.Infusion Center:
The Charge Capture Specialist provides organizational duties and support for employees who perform Charge Capture for the Oncology Service Line.
The specialist performs monthly audits service line staff and manages frequent complex interactions with many internal and external contacts as required for compliance, audits and accuracy.
This role interacts with Patient Financial Services, Revenue Integrity, internal audit representatives, nurse auditors, corporate compliance officer, HIMs and billing coders oncology physician groups.
Under the direction of the Service Line Operations Manager, performs account reviews and investigations, EPIC late charge entry, cross report facility reconciliations, and daily charge capture audit (CCA) exceptions.
Assists the manager in communicating updated information and education on an on-going basis to nursing and oncology staff.QUALIFICATIONS:
High School degree
Minimum five (5) years experience related experience.
Advanced understanding of the Lynx client coding guideline algorithms, HBOC late charge entry, charge capture audit application, the CMS coding and billing regulations, outpatient prospective payment system (OPPS) for charging patients for ED services.
Customer service experience with strong administrative skills including developing and improving office systems and procedures.
Demonstrated intermediate-level computer skills in MS outlook, word, power point and excel.
Strong oral, written and interpersonal communication skills including patient/customer relations experience.
Experience working with electronic medical records required.
Knowledge of healthcare regulatory compliance HIMS, HIPAA and coding rules, and an ability to maintain confidential and complex medical records information and to prepare accurate reports.
Ability to exercise judgment, courtesy, and tact in receiving callers, in giving and obtaining information and in making proper disposition of problems.
Salary Range:
$ $49.14 USD Hourly
The Physical Requirements and Working Conditions of this job are available.
El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.
Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies.
El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law.
In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.
