Pediatric ER Charge Capture & Revenue Integrity Specialist

Overview

Perform audits of all Main and Madison ED accounts to identify appropriate E/M level, supply charges, pharmacy charges and CPT coded procedures for services provided in the ED’s; manual charge entry for appropriate charges based on Cerner documentation; perform audits of ED charts and accounts to determine charge corrections; processes appropriate charge corrections on accounts; provides required information regarding drug charge discrepancies to appropriate Pharmacy personnel.

Qualifications

Minimum Knowledge, Skills, Experience Required

• 3 years clinical experience in a hospital or physician office setting
• Effective communication skills with internal hospital departments.
• Must be able to effectively and accurately manage a large volume of medical records

Education/Licensure/Certifications

• High school diploma or GED required
• Alabama nursing license (RN or LPN) preferred
• Prior clinical experience will be considered in lieu of license

Experience

• Prior medical experience preferred.