Charge Capture Specialist

Pay range: $23.37 - $32.71 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position.

This part-time position comes with a benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program.

Approved states by St. Charles:

• Oregon
• Arizona
• Arkansas
• Florida
• Idaho
• Missouri
• Montana
• Nevada
• New Mexico
• North Carolina
• Oklahoma
• Tennessee
• Utah
• Wisconsin

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:

Charge Capture Specialist IIREPORTS TO POSITION:
Revenue Integrity Leadership DEPARTMENT:
Revenue Integrity Department DATE LAST REVIEWED: 06/03/2024

OUR VISION:
Creating America’s healthiest community, together OUR MISSION:
In the spirit of love and compassion, better health, better care, better valueOUR VALUES:
Accountability, Caring and Teamwork

DEPARTMENT SUMMARY:

The Revenue Integrity department focuses on charge capture optimization and documentation improvement through collaboration and education. The Revenue Integrity department provides many services to our multi-hospital and medical group organization focusing on the patient financial experience along the entire continuum of care. Our goal is to deliver delightful, transparent, and seamless experience to our patients and customers that captures and collects the revenue earned by St.

Charles Health System (SCHS) in a quality, efficient and timely manner.

POSITION OVERVIEW:

The Charge Capture Specialist II at SCHS is responsible for validating appropriate charge capture in a quality, efficient and timely manner. Services include but are not limited to the review of accounts to accurately capture charges for assigned Charge Capture Area and other SCHS departments and or cost centers as applicable. This role requires the ability to review medical record documentation to apply accurate charges for services and items/supplies used for patient care, perform basic math and/or time calculations and correct charge capture errors based on SCHS charge capture policies and procedures.

This position does not directly manage others but may be asked to review and provide feedback on other caregiver’s work, as well as support other Revenue Integrity Charge Capture Specialist’s with daily work activities.

ESSENTIAL DUTIES AND FUNCTIONS:

• Read and interpret documents contained within the medical record.
• Accurately determine the charges for the assigned services departments, transferring data to Information Services and Finance as scheduled.
• Complete accurate and timely charge capture tasks for assigned Charge Capture Area.
• Deliver excellent customer service in a manner that promotes goodwill, is timely, efficient and accurate when communication between internal/external stakeholders is necessary according to the RI Charge Capture Complexity Matrix.
• Contribute to and support team in assigned work queue areas designated by leadership.
• Utilize intermediate to high level research methodologies consistent with the RI Charge Capture Complexity Matrix.
• Apply intermediate to high level understanding and knowledge of billing, medical coding and charging guidelines when CPT code(s) application is required following Medicare/Medicaid/Payor guidelines, Federal and State regulations and or laws along with SCHS policies and procedures for appropriate charge capture processes.
• Attend applicable meetings as requested by leadership.
• Provide requested deliverables as deemed appropriate by leadership.
• Support the vision, mission, and values of the organization in all respects.
• Support Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provide and maintain a safe environment for caregivers, patients and guests.
• Conduct all activities with the highest standards of professionalism and confidentiality.
• Comply with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and…