Hospital Charge Specialist

General Summary of Duties

Responsible for accurately processing hospital and office medical records and patient documentation with basic knowledge of ICD-10 and CPT coding.

Hospital Charge Entry Supervisor

• Ensures accurate processing of medical records and documentations to be submitted into the patient charts
• Reviews and analyzes patient records to determine accurate dating and sequencing of documents
• Accessing multiple hospital portals and EMRs to obtain information
• Creating, organizing and keeping track of hospital charge tickets
• Obtaining and maintain proper access to hospital portals
• Email and phone communication with hospitals, providers, and office staff to obtain information needed for processing
• Maintaining and managing interdepartmental communication within EMR system
• Scanning documents and charge tickets into the patient chart
• Cross training within department for coverage as needed
• Completes follow-ups in a timely manner
• Processes work in a timely manner and create solutions to prevent delay of document submission
• Meets or exceeds quality and productivity standards as set by the Charge Entry Manager and/or Revenue Cycle Manager
• Continues personal education by attending seminars and classes as needed
• Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes (ICD-10)
• Understands and abides by CMS and other payer guidelines in coding and billing
• Answers emails and voicemails and returns calls in a timely and efficient manner
• Completes requests for information from other AGA, LLC staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts
• Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information
• Participates in staff meetings as directed by the Charge Entry Manager and/or Revenue Cycle Manager.
• Cross trains and performs other practice functions as directed by the Charge Entry Manager and/or Revenue Cycle Manager
• Any other duties and/or special projects as assigned

• High School Diploma or GED required
• 1-2 years of medical office experience. Basic knowledge ICD-10 and CPT Coding preferred
• Specialty clinical experience in Gastroenterology experience preferred
• Skills and knowledge of EMR software functionality and operations
• Proficiency in multiple Microsoft Office applications
• Knowledge and ability to process patient medical records

Charge Entry I must be able to:

• Provide a high level of quality patient care and customer service at all times
• Plan, prioritize, and complete multiple tasks as delegated by Revenue Cycle Manager and/or Charge Entry Manager
• Ability to work under pressure; assess, respond, and communicate issues in a timely manner
• Maintain composure and set a professional example to patients and coworkers
• Communicate clearly with patients and coworkers through the telephone, email, and in-person
• Interpret and apply clinical and non-clinical policies and procedures

Requires sitting and standing associated with a normal office environment; travel within the Metro area required.