Primary City/State:

Arizona, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

The Charge Capture Specialist WIS ensures charges are captured timely, accurately, and completely. Identifies clinical documentation discrepancies for improvement. 

Systems frequently used: Cerner, MS4, Microsoft Office

Billing or coding Certification is a plus but not required, charge capture experience, working with/reading clinical documentation experience and knowledge/previous experience with systems used are preferred.

Monday- Friday Day shift/ Full-time

This can be a remote position if you live in the following states only: AK, AZ, AR, CA, CO, GA, FL, IA, ID, IN, KS, KY, LA, MD, MI, MO, MN, MS, NH, NM, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WV, WA, & WY 

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY
This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company’s Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS
1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company’s programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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