Charge Capture Specialist 2

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America) Job Summary:

The Charge Capture Specialist II is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture. He/she works closely with Physician Practices as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges. The Charge Capture Specialist II also collaborates with cross-campus counterpart(s) and Physician Practice to ensure clinical documentation in high risk areas is consistent and complete. The Charge Capture Specialist II collaborates with cross-campus counterpart(s) to ensure consistency in processes in such a manner that each individual can act as a back-up for the other to ensure seamless charge capture in high risk areas when one individual is out. Duties include charge entry, ensuring correctness of coding in Charge Review, providing ongoing education to charging departments and reducing payor coding denials.

Core Responsibilities and Essential Functions:
Job Functions

* Ensure charging/documentation is accurate and complete both department to department and cross-campus
* Assess physician and nursing documentation to ensure it supports the charge codes selected including supporting medical necessity
* Review the clinical records on an ongoing basis to identify any overcharges, undercharges, or charges that necessitate an additional document to be justified
* Analyze, verify, and work with departments to modify charging/documentation procedures for high risk areas such as infusion services
* Develop and implement training required to educate Physician Practices on the changes, updates, and additions to charge review.
* Proactively identify and analyze new charging opportunities in coordination with assigned departments
* Research and analyze charge and coding requirements for new services and technologies
* Consistently meet the current productivity standards in ensuring accurate charge capture
* Consistently meet the current quality standards in ensuring accurate charge capture in high risk areas in a timely manner
* Meet productivity standards, benchmarks, targets, and reporting requirements as assigned by the department Manager or Supervisor

Management Professional Development
* Provide individual contribution to the overall team effort of achieving the department AR goal
* Identify opportunities for system and process improvement and submit to management
* Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
* Demonstrate knowledge of the health system HIPAA privacy standards and ensure compliance with system PHI privacy practices
* Follow the health systems general Policy and Procedures, the Departments Policy and Procedures, and the Emergency Preparedness Procedures
* Become cross-trained and fill in for other staff as assigned

Administrative Professional Communication
* Assure patient privacy and confidentiality as appropriate or required
* Ensure minors have a parent or guardian listed as guarantor as appropriate
* Communicate in a professional manner with patients, their families and representatives from third party payor organizations
* Communicate in a professional manner with physicians, physician staff, co-workers, management and clinical staff
* Maintain professional relationships and convey relevant information to other members of the healthcare team within the facil