Charge Entry Specialist
Ortho Tennessee
Description Position Type: Full-Time - WFH after training at KOC Weisgarber Location Knoxville Orthopaedic Clinic (KOC) is seeking a detail-oriented and organized Charge Entry Specialist to join our team. This position plays an important role in supporting accurate and timely billing by ensuring patient services are correctly entered and captured within the billing system. The Charge Entry Specialist reviews clinical documentation, verifies charge and coding information, reconciles daily activity, and works closely with providers, coders, and Revenue Cycle Team Members to resolve discrepancies before claims are submitted. The ideal candidate has a strong eye for detail, understands medical billing and coding terminology, and is comfortable managing high-volume work while maintaining accuracy and meeting established deadlines.
What You'll Do
What You'll Do
- Enter patient charges into the billing system accurately and within established timeframes.
- Review clinical documentation and charge information to ensure services are captured completely and accurately.
- Verify CPT, ICD-10-CM, HCPCS, and modifier information for completeness and consistency with documented services.
- Work with providers, coders, and billing Team Members to clarify missing, incomplete, or inconsistent charge information.
- Review charge work queues and supporting documentation to identify and resolve errors before claim submission.
- Reconcile daily charge-entry reports with patient encounters and clinical records to confirm services have been captured.
- Research charge discrepancies and complete appropriate corrections, re-entry, or escalation.
- Maintain clear documentation of charge-entry activity, corrections, questions, and required follow-up.
- Monitor and maintain organized work queues, reports, notes, and supporting documentation.
- Communicate unresolved documentation, coding, or workflow concerns to the appropriate Team Member or leader.
- Follow current coding, billing, payer, privacy, and KOC requirements when completing assigned work.
- Meet established expectations for accuracy, productivity, quality, and timely completion of work.
- Maintain patient confidentiality and protect sensitive clinical, financial, and organizational information.
- Participate in education, cross-training, process-improvement initiatives, and special projects as assigned.
- Stay current on charge-entry procedures, coding updates, payer requirements, and systems affecting the position.
- High school diploma or equivalent required.
- Minimum of 1-2 years of experience in charge entry, medical billing, or a related healthcare role.
- Working knowledge of medical terminology, CPT, ICD-10-CM, HCPCS, modifiers, and medical insurance procedures.
- Strong attention to detail and ability to complete high-volume work accurately.
- Strong organization, communication, customer-service, and problem-solving skills.
- Ability to research discrepancies and follow issues through appropriate resolution.
- Ability to manage multiple priorities, recurring deadlines, and confidential information with accuracy and discretion.
- Proficiency with billing software, electronic health records, practice-management systems, email, spreadsheets, and common office applications.
- Previous experience in an orthopaedic or specialty physician practice.
- Experience working collaboratively with providers, coders, billing professionals, and other Revenue Cycle Team Members.
- Relevant education or certification in medical billing, medical coding, or healthcare Revenue Cycle.
- Experience reviewing and reconciling high-volume charge activity.
Vacancy posted 1 day ago
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