The Charge Capture and Reconciliation Specialist is responsible for ensuring that all appropriate charges are captured to maximize revenue by ensuring full charge capture by specialty, while also managing multiple charge capture processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Identifies, analyzes, and reconciles billing errors or omissions by reviewing documentation and educate staff on proper charting techniques to reduce errors.
• Identifies, through various reporting tools, missing charges for multiple locations, departments, and specialties.
• Identifies discrepancies in documentation and reports findings to lead.
• Collects health information about services provided including demographic data, appropriate length of stay, third-party payer and continued stay reviews, and other related data concerning patients.
• Assigns codes for straightforward/complex recurring accounts by interpreting clinical data for reimbursement.
• Supports all providers in diagnosis coding as well as support billing with CPT and Diagnosis coding questions.
• Collaborates with department managers, directors and/or other designated contacts to continually improve and maintain the efficiency and accuracy of the overall charging process.
• Communicates with leadership, physicians or clinicians concerning diagnoses and procedures when questions arise.
• Analyzes and interprets company policies, procedures and state and federal regulations related to charge capture.
• Solves complex problems and seeks guidance for highly complex problems. May lead project teams. May serve as a resource to others in the resolution of complex problems and issues.
• Other duties and responsibilities as assigned.

Essential Skills:

• Able to manage multiple projects at one time to completion
• Attention to detail
• Proficiency in Excel/Power Point
• Strong Verbal and written communication skills
• Ability to work independently with minimal supervision in a team environment

Education and Experience Required:

• Education: High School Diploma or equivalent.
• Experience: 6 months experience in the field or related area.
• Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCA (Certified Coding Associate), CPC-A (Certified Professional Coder - Apprentice), or any American Health Information Management Association (AHIMA) coding credential, or any American Academy of Professional Coders (AAPC) coding credential.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanning, filing cabinets and fax machines.

Dress attire required: Determined by the local office.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to see, talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

This position requires the ability occasionally to lift office products and supplies, up to 20 pounds.

Days/Hours

This is a full-time position, and hours of work and days are Monday through Friday, at a fixed schedule determined by the needs of ADH and agreed upon by RCM Billing Manager

Travel

Travel may be required when doing onsite Training

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• West Long Branch, NJ 07764: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)

Work Location: One location

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