Charge Capture Specialist I

Responsible for charge capture efforts and developing daily reconciliation reports that assist managers in maintaining accurate and timely charges.

Essential Functions
Perform charge reconciliation to ensure that Saint Anthony Hospital charges are accurate, billed correctly and supported according to documentation.
Work in partnership with the revenue capture department to deliver training that addresses identified coding and documentation gaps.
Drive consistent policies, procedures, workflow systems and process improvements in hospital and professional service coding, clinical documentation, and coding edits.
Direct liaison to help close the gaps within clinical documentation, support charging compliance, and charge capture workflows.

Knowledge/Skills/Abilities

Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting).
The ability to identify trends and recommend solutions to charge capture processes and issues.
Knowledge of regulatory publications, how to access and interpret them.
Knowledge of government and commercial payer requirements to ensure accurate and compliant charging and billing of hospital inpatient, outpatient, surgical and ancillary services.
Working knowledge of CPT, HCPCs, and revenue codes.
Knowledge of APC, fee for service, and DRG payment methodologies.
Coding experience in a hospital inpatient and outpatient setting and professional certification as a RHIA, RHIT, or CCS.
Working knowledge of medical terminology.
Solid oral and written communication skills.
Excellent research, problem-solving and analytical skills.
Experience with Microsoft Office (Word, Excel, PowerPoint).

Marginal Functions

Performs both essential and marginal job functions in a safe manner as identified by Saint Anthony Hospital and the respective department while adhering to the Hospital's confidentiality norms and standards. Actively and consistently demonstrates the core values of Saint Anthony Hospital in all interactions with others.
Assumes responsibility for knowing and maintaining established hospital and departmental objectives, policies/procedures including general sanitation, safety, environmental and infection control standards.
Participates in performance activities including problem identification, data collection, solution selection, implementation and evaluation. Also assists in the care and maintenance of departmental equipment and supplies as appropriate.
Participates in staff meetings and other inservices, meetings or committees as required.

General Job Requirements

Associates degree in Business Administration, Healthcare Administration, Health Information Management or a related field required.
Minimum of 1 year of relevant work or school experience required.
Healthcare related degree and professional work experience in revenue cycle operations and/or clinical operations, is preferred.

To perform the job successfully, an individual should demonstrate the following competencies in performance of the essential functions of this position.

Problem-solving-the individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
Interpersonal skills-the individual establishes relationships quickly with all levels of employees within the organization, is able to maintain confidentiality, and remains open to others' ideas and ways of doing things.
Communication-the individual speaks clearly and persuasively in positive or negative situations; able to produce written documents and communications that provide clear expression of ideas or goals; is able to actively listen to gain an understanding of a situation and respond accordingly.
Planning/organizing-the individual prioritizes and plans work activities and uses time efficiently.
Quality control-the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality; ability to edit work for spelling and grammar and presents numerical data effectively.
Adaptability-the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
Dependability-the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.

Saint Anthony Hospital Highlights:

Saint Anthony Hospital is an independent, nonprofit, faith-based, acute care, community hospital dedicated to improving the health and wellness of the families on the West Side and Southwest Side of Chicago.
Saint Anthony Hospital has been certified as a Primary Stroke Center by The Joint Commission.
Saint Anthony Hospital offers competitive wages and a comprehensive benefits program for employees and their families.
Saint Anthony Hospital employs and teaches some of the city's brightest, most innovative resident physicians and medical students.

EQUAL OPPORTUNITY

Saint Anthony Hospital is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.