Lab Charge Capture Specialist - FT - Eves -Clinical Laboratory MV

Charge Capture Specialist

El Camino Health is committed to hiring, retaining, and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: one built on compassion, innovation, collaboration, and delivering high-quality care. Come join the team that makes this happen.

Job Description

• Perform daily audits of lab orders and manage frequent complex interactions with many internal and external contacts as required for compliance, audits, and accuracy.
• Interact with Manager, Director of Revenue & Reimbursement, Manager Charge Master, internal audit representatives, client relations, nurse auditors, corporate compliance officer, HIMs and billing coders, physician group, nThrive representatives, and IT staff.
• Under the direction of the OP Lab Manager, perform account reviews and investigations, manual charge entry, facility reconciliations, daily charge capture audit (CCA) exceptions, and meeting minutes.
• Assist the Manager in updating information and education on an ongoing basis to lab staff and Charge Capture Coordinator staff.
• Review and resolve exceptions and errors as they relate to lab charges and coding. Analyze charge review Work Queues (WQ) and make corrections to charges and coding as necessary.
• Ensure charges are corrected timely so there are no adverse effects on Accounts Receivable. Work with providers to research charge and coding issues as needed.
• Provide specialized technical knowledge of billing and required weekly attendance to the weekly Lab working sessions with consultant and Revenue integrity team.
• Be accountable for the billing activities including oversight of daily operation of the Charge Capture coordinator and collaboratively work with the LIS analyst.
• Identify and resolve issues. Ensure staff are working their WQ and billing daily.
• Work with appropriate provider, management team, and staff when identifying errors or issues.
• Provide formal education to the assigned area.
• Use Department information system effectively and efficiently.
• Assist in the implementation of new or upgraded billing software.
• Follow internal/external regulatory and compliance guidelines.

Requirements

• High school diploma required; Bachelor or Associate degree preferred.
• Minimum two (2) years' experience in a clinical setting or two years administrative support experience.
• Advanced understanding of lab coding, Epic late charge entry, charge capture audit application, and CMS coding and billing regulations.
• Minimum five (5) years of lab charge capture and billing experience required; EPIC Charge Capture experience preferred.
• Understand charge capture processes and read and comprehend the patient chart.
• Knowledge of healthcare regulatory compliance, HIMS, HIPAA, and coding rules, with an ability to maintain confidential and complex medical records.
• Excellent English verbal and written communication skills.
• Excellent communication and public relation skills; able to handle multiple tasks and interruptions.
• Proficiency with Windows and Microsoft Office Suite, including Excel.
• Experience using EPIC and SOFT (LAB LIS) software systems.
• Excellent organizational skills.
• Works effectively as a team member under multiple demands and expectations.
• Works with minimal supervision.

License/Certification/Registration Requirements

• Medical Billing and Coding Certificate required.

Ages of Patients Served

This position will serve all age groups.

Salary Range

$34.08 - $51.12 USD Hourly

El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Physical Requirements

Sedentary work - duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers.

Equal Opportunity Employer

El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition, or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.