Job description

Location: Chicago, IL

Hospital: RUSH University Medical Center

Department: Research Billing Support

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 5:00:00 PM)

Summary

The Charge Capture Specialist follows charge capture initiatives and develops processes and procedures to ensure accurate and timely capture of all chargeable procedures. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Responsibilities

Accurately enters charges on patient accounts for services rendered by Rush clinicians in accordance with CMS and AMA guidelines
Responsible for assigned Account, Charge Review, and Claim Edit Work queues and the continual monitoring, reduction, and transfer of AR associated with assigned areas
Follows-up on all incomplete and inaccurate charges and makes prompt corrections.
Adheres workflow best practices and prevents inaccurate service/CPT codes from being billed.
Follows Rush coding/charging policies and guidelines.
Conducts thorough review of medical records and utilizes coding resources to ensure that clinical documentation supports all billed charges.
Communicates effectively with team, compliance, departments and clinical staff.
Meets or exceeds quality and productivity standards set by direct manager
Engages in implementing process improvement initiatives by recognizing revenue enhancement opportunities.
Engages in continual education and training in the subject field.
Other relevant duties and special projects as assigned.

Other Information

Required Job Qualifications:

High School Diploma or GED required.
At least two years of healthcare experience working with billing, charge entry, charge capture, research or CDM required.
Proficiency with medical coding terminology. Must demonstrate knowledge of the three code sets that are currently in use: Current Procedural Terminology (CPT), ICD-10-CM, and Healthcare Common Procedure Coding System (HCPCS) Level II.
Excellent communication and organizational skills.
Analytical and problem-solving skills.
Ability to work under minimal supervision and as a team member.
Ability to observe and report on charge entry trends and patterns.
Proficiency with MS Office Suite.
Strong problem solving and financial analytical skills. High degree of accuracy for analyses and processes.

Preferred Job Qualifications

General understanding of various billing, payment and coding systems in healthcare.
Proficient and functional knowledge of entering and reviewing charges in an EMR system (i.e. EPIC).
AAPC or AHIMA certification in coding. Certifications may include: Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and Certified Medical Coder (CMC), and any other specialized coding certification approved by the two main governing bodies. If not certified at time of hire, candidate will obtain within twelve months of start date.

Physical Demands

Physical, mental (specify amount and duration)

Competencies

Disclaimer:

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

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