Charge Capture Analyst

Job Title: Charge Capture Analyst

Location: Morris Cancer Center

Department Name: Patient Accounts

Req #: 0000209705

Status: Hourly

Shift: Day

Pay Range: $20.00 - $35.00 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

Under the direction of the Revenue Cycle Manager, the Charge Capture Specialist is responsible for reviewing all CINJ/RWJBH Medical Oncology and Hematology medical record and add all appropriate charges, make additions and deletions to the charges as necessary and update the financial system, also monitor and correct charge exceptions, delinquent data, and discharges.

Qualifications:

Required:

• Experience in charge capture, chart review, ICD-10, CPT/HCPCS coding and billing and reimbursement knowledge surrounding UB-04 claim submission.
• Minimum of 2-5 years of facility and/or practice billing experience.
• Effective communication, analytical, organizational skills.
• Medical terminology knowledge

Preferred:

• Certified Coding Specialist (CSS), or Certified Professional Coder (CPC).
• Understands charging process and compliance issues and has the ability to provide resolution with the assistance and guidance of the Revenue Cycle Manager.
• Demonstrates knowledge of proficiency of standard PC word processing, spreadsheets (Word and Excel).

Scheduling Requirements:

• Day shift, 8:00am-4:30pm
• Monday through Friday
• Full-time, 40 hours per hour

Essential Functions:

• Reviews ARIA* schedules daily for accuracy and completion of documentation. Compare and reconcile from Financial System with ARIA
• Review the ARIA* and PowerBI* patient report on a daily basis. Reports will need to be referenced as the charge capture specialist applies appropriate E/M level in the Financial System.
• Enters and reconciles charges for CINJ* outpatients and released accounts the day after the ED outpatient visit. Verify every patient has a E&M level of care or procedure.
• Responsible for timely correction made on all charts that are missing charges or need corrections.
• Works collaboratively with CINJ Professional Billing Manager for follow-up on missing physician documentation and
• unsigned nurse's notes.
• Maintains strong knowledge of ARIA* and Optimum* applications.
• Attends to and resolves issues indicated on nThrive, Charge Capture Audit, grids and other edit applications related to ER accounts
• Analyzes manual and computer reports to identify problem areas such as accounts holding on DNFB that should have been billed but were not due to inaccurate or missing information
• Responsible for supporting hospital charge capture and revenue improvement initiatives
• Understands the importance of Communication and follows up with electronic and voice messages to/from staff.
• Maintains confidentiality of patients information at all times
• Demonstrates a thorough working knowledge of medical and pharmaceutical terminology, ask questions to clarify misunderstandings.
• Assist Revenue Cycle Manager with special projects needed.
• Supports and enhances the compliance efforts of the hospital by adhering to the regulatory, departmental and organizational guidelines relating to charging for services
• Uses billing expertise to compare the medical record documentation, billing system and patient account charge detail in Optimum* to the individual items billed.
• Works well independently in remote office and is available during scheduled work hours. Scheduled work hours will be a combination of working from home and on site.
• Must possess the ability to organize work effectively, manage multiple concurrent priorities with competing deadlines and pay careful attention to detail and presentation.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ....and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer