Charge Capture Representative

Location Address:

Date Posted:

Department:

Shift:

Shift Length:

Hours Per Week:

Union Contract:

Weekend Rotation:

Job Summary:

Key Position Details:

• 1.0 FTE (80 hours per 2-week pay period)

• 8-hour day shifts
• No weekends
• Epic experience
• Fully remote

Job Description:

Responsible for reviewing clinical documentation and accurately assessing and entering charges for Emergency Outpatient and Observation services. Using medical software to correctly capture all billable charges. Identifies inconsistencies in medical reports and works with leadership and operations staff to improve charge capture and error correction and assists in analyzing related billing errors and omissions.

Principle Responsibilities

• Ensures charges captured in an appropriate and timely manner.
  • Reviews calculates and enters charges in the electronic medical record (EMR).
  • Examines financial reports for accuracy edits.
  • Processes and completes charge entry.
  • Monitors and audits charts.
  • Ensures charges are compliant with federal regulations.
  • Strong partnership with a variety of departments that may include coding finance providers site leadership etc. to assist with provider productivity and usage of dummy codes audits.
  • Problem solves to identify missing notes and charges working directly with providers until the missing item(s) are completed.
• Identifies analyzes and edits charge capture errors.
  • Identifies and investigates double charging errors and omissions and edits charges prior to data entry.
  • Reconciliation of inpatient and outpatient hospital professional fees to identify missing charges and/or notes.
  • Manages 3050WQ to ensure correct code appropriate revenue department and Place of are accurate for all EM182 dummy codes.
  • Management of Charge Review Claim Edit Account and Follow Up WQs.
  • Verifies insurance eligibility and completes automated insurance eligibility verification when applicable and appropriately documents information in Epic.
  • Problem solves to identify and submit resolution to patient/client problems or issues direct calls to appropriate department for resolution. Adjust accounts within guidelines.
    Updates patient demographic and insurance information.
  • Registers patients as needed for billing for places of service outside of Allina.
  • Follows-up regarding billing and quality of care issues complaints/concerns. Document all contacts as directed by policy and where appropriate involving of care concerns/complaints.
  • Maintains current knowledge on Patient Bill of Rights and problem solving.
  • Refers quality of care complaints to appropriate department within Allina.
    Recommends account resolutions.
  • Works with Revenue Cycle Management clinic/hospital sites and providers throughout Allina to obtain referrals and prior authorizations for encounters that have been denied by the payers.
  • Reviews and resolve accounts that are complex and require a higher degree of expertise and critical thinking.
• Identifies workflow problems.
  • Works directly with providers and site leadership to address workflow issues and discuss opportunities for education to ensure providers have the tools necessary Informs manager about deficits in documentation for revenue efficiency and accuracy.
• Other duties as assigned.

Required Qualifications

• Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description
• 2 to 5 years of experience working in health care insurance billing and charging

Preferred Qualifications

• High school diploma or GED
• Associates or Vocational degree in business healthcare or related field
• 2 to 5 years of medical terminology experience

Licenses/Certifications

• Certified Coding Specialist - American Health Information Management Association (AHIMA) preferred upon hire

Physical Demands

• Sedentary:
• Lifting weight up to 10 lbs. occasionally negligible weight frequently

Pay Range

Benefit Summary

Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. Thats why we devote extraordinary resources to help you grow and thrive not only as a professional but also as a whole person. When you join our team you have access to a wealth of valuable employee benefits that support the total well-being mind body spirit and community of you and your family members.

Allina Health is all in on your well-being. Because well-being means something different to everyone our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes up to $100 in well-being dollars dedicated well-being navigators and many programs activities articles videos personal coaching and tools to support you on your journey.

In addition Allina Health offers employee resources groups (ERGs) -- voluntary employee-led groups that serve as a resource for members and organizations by fostering a diverse inclusive workplace aligned with the organizations mission values goals business practices and objectives. Allina Health also engages employees in various community involvement and volunteering events.

Benefits include:

• Medical/Dental

• PTO/Time Away

• Retirement Savings Plans

• Life Insurance

• Short-term/Long-term Disability

• Voluntary Benefits (vision legal critical illness)

• Tuition Reimbursement or Continuing Medical Education as applicable

• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

• Allina Health is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.