Charge Capture Specialist

Charge Capture Specialist

This is an onsite role. Position summary: The Charge Capture Specialist is responsible for ensuring accurate and timely charge entry for medical services rendered. This role involves reviewing clinical documentation, identifying missing charges, correcting discrepancies, and ensuring compliance with billing and coding regulations to maximize revenue capture. The specialist collaborates closely with medical providers, billing teams, and revenue cycle staff to support efficient financial operations.

Key responsibilities:

• Review clinical documentation to ensure all billable services are accurately captured and coded.
• Enter, audit, and reconcile charges in the billing system to prevent revenue loss and billing errors.
• Identify and resolve missing, incomplete, or incorrect charges by working closely with providers and billing teams.
• Ensure compliance with coding guidelines, payer policies, and healthcare regulations, including CPT, HCPCS, and ICD-10 codes.
• Assist in charge correction and adjustments while adhering to hospital and insurance requirements.
• Monitor and analyze charge trends to identify opportunities for process improvement and revenue optimization.
• Work collaboratively with revenue cycle teams, medical coders, and other departments to streamline charge capture workflows.
• Maintain confidentiality and adhere to HIPAA regulations when handling patient and financial data.
• Provide training and support to clinical and administrative staff on charge capture best practices.