Melville, NY, 11747, USA
3 days ago
Charge Capture Specialist
Description: *Scope of activities include accurate establishment of clinical charge capture, researching and resolving charge system problems and analysis of current systems for purposes of identifying system improvements. Documents system performance, to ensure accuracy, compliance, and to improve revenue. *Performs audits to evaluate if all charges are being captured appropriately. *Performs maintenance of the EAP and Fee Schedule, MPI, JBF, crosswalk master files, panels driver files, preference list and other. *Ensures that all chargemaster additions, deletions, and modifications are appropriately communicated to the departments, builders, trainers and related ancillary systems. *Assist on maintenance of historic CDM (JBF nat acct), EPIC, CDM next number (JBF separate) Optime CDM, Panel Drivers, other files. *Serves as a communication link between staff, physicians, charge nurse, business office, revenue cycle director, and other reimbursement specialists in discussing issues, recommendations, solutions and answering questions related to charges and charge master. *Generates the report of the most recent EAP master charges and fee schedule and uploads/imports text data in EPIC when necessary. *Works with the application teams to build all charges, charge capture methods, charge review, reconciliation reports and work queues for all workflows. *Resolves errors identified through EPIC work queues. Procedure is reviewing and analyzing of documentation, charge capture professional/technical, CPT code, procedure (EAP) master file, charge linked, orders, interface, fee schedule, system build, charge router rules, charge trigger, cost assignment, etc. *Coordinate and perform analysis for annual CPT and HCPCS code updates to identify adds, deletions, modifications that need to be made in EPIC System Standard CDM and Informatic Staff. *Coordinate with Craneware Software Support to resolve issues to ensure that minimal downtime occurs with Craneware Chargemaster Toolkit. *Performs analysis utilizing Craneware Bill Analyszer. *Review bulletins and publications for coding and billing updates to communicate with affected departments and sustain understanding of the regulatory requirements. *Responsible for resolving any coding related errors and denials that are identified by the Hospital's billing system as a part of the revenue enhancement initiatives or errors assigned by designated work queues. *Performs other incidental and related duties as required and assigned. Additional Skills & Qualifications: * Outpatient Medicare and Medicaid coding and billing regulations * All components of the chargemaster including but not limited to CPT, HCPCS, modifier, revenue codes and CDM descriptions to assure compliance and regulatory requirements. * Hospital or Physician coding and billing experience * Proficient in using Microsoft application including Excel and Word * Hospital charging systems and charge capture process * Good organizational and communication skills About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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