Charge Capture Representative

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare dating back to 1891. Building upon a legacy of compassionate care and innovation our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today as Virginia Mason Franciscan Health we remain deeply committed to healing the whole person body mind and spirit in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services from routine wellness to complex disease management all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health you become part of a team that delivers top-quality professional healthcare in modern well-equipped facilities and contributes to a legacy of service built on collaboration and shared purpose.

This job is responsible for reviewing encounters in the practice management system (e.g. Epic) and making corrections as
needed in accordance with applicable guidelines. Work also includes inputting encounters and other source documents
received from clinics in an accurate compliant and timely manner. An incumbent engages in various charge capture
tasks/initiatives to ensure charges are entered edited and billed in a timely and efficient manner in order to maximize
revenues and serves as a resource to other staff and RBO departments for complex charge review/entry issues.
Work requires considerable understanding of CPT and diagnosis codes ICD-9/10 coding anatomy and physiology as it
relates to the medical field. Effective troubleshooting skills are required to facilitate consultation with multiple team
members to address and resolve issues having a potential impact on revenues.

Reviews encounters that are in charge review work queues and makes corrections or code additions as
appropriate in accordance with applicable guidelines.
Completes accurate and timely superbill sendbacks.
Documents all activities and findings in accordance with established procedures.
Inputs encounter data and other clinic-generated source documents into the practice management system
in accordance with applicable guidelines and quality/production standards.
Completes batch and reconciles to daily log.
Anticipates potential areas of concern within the charge capture function; notifies lead/manager of
ongoing process issues or concerns beyond designated scope of authority to rectify independently; assists
with unusual unprecedented and/or escalated issues as necessary.

Consults with FMG coding and denials management teams to identify trends and issues related to clinic- and
hospital-based professional coding.
Performs related duties as required.

Minimum Job Qualifications

Education/Work Experience Requirements
One year of related work experience that would demonstrate possession of the requisite job knowledge/abilities.
Job Knowledge/Abilities:

Job Title: Charge Capture Rep/LD Job Code: 9735/9736 Dept.: Multiple

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Knowledge of general office principles practices standards systems and tools/equipment.
Knowledge of the operation and application of automated systems applicable to the assigned function.
Knowledge of general concepts and practices relating to the healthcare field and specific policies standards
procedures and practices pertaining to the assigned function.
Knowledge of the regulatory/reporting requirements pertaining to the assigned function.
Knowledge of medical terminology/abbreviations anatomy/physiology and medical coding conventions (e.g. ICD
9/10 CPT/diagnosis) sufficient to perform the duties of the position.
Knowledge of sources and availability of information relevant to the assigned function.
Ability to identify and articulate non-compliance with established guidelines and/or regulatory requirements.
Ability to keep abreast of changes in policies programs procedures standards and regulations applicable to the
assigned work unit.
Ability to troubleshoot understand and/or adapt complex/conflicting oral or written regulations/guidelines to diverse
or dissimilar situations.
Ability to maintain the confidentiality of medical records and to use discretion with confidential data and sensitive
information.
Ability to enter data in accordance with established standards of timeliness accuracy and productivity.
Ability to keep abreast of trends developments and changing regulatory requirements impacting matters within
designated scope of responsibility.
Ability to establish and maintain effective working relationships as required by the duties of the position.
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
Ability to read understand and communicate in English sufficient to perform the duties of the position.