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

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.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

Scheduled Bi-Weekly Hours

80

Work Shift

Evening : 8 hours

Job Description

Job Responsibilities :

The Charge Capture Specialist performs daily audits of lab orders and manages frequent complex interactions with many internal and external contacts as required for compliance, audits and accuracy.

Interacts 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, & IT staff.

Under the direction of the OP Lab Manager, performs account reviews and investigations, manual charge entry, facility reconciliations, daily charge capture audit (CCA) exceptions and meeting minutes.

Assists the Manager in updated information and education on an on-going basis to lab staff and Charge Capture Coordinator staff.

Reviews and resolves exceptions and errors as they relate to Lab Charges and Coding. Analyzes charge review Work Queues (WQ) and makes corrections to charges and coding as necessary.

Ensures charges are corrected timely so there is no adverse effects on Accounts Receivable. Works with providers to research charge and coding issues as needed.

Provides specialized technical knowledge of billing and required weekly attendance to the weekly Lab working sessions with consultant and Revenue integrity team.

The Charge Capture Specialist is accountable for the Billing activities including oversight of daily operation of the Charge Capture coordinator and collaboratively work with the LIS analyst.

Identifies and resolves issues. Ensure staff are working their WQ and billing daily.

Works with appropriate provider, management team and staff when identifying errors or issues.

Provides formal education to the assigned area.

Uses Department information system effectively and efficiently.

Assists in implementation of new or upgraded Billing software.

Follows internal / external regulatory and compliance guidelines.

Qualifications

High school diploma required. Bachelor or Associate degree preferred

Medical Billing and Coding Certificate required

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, the CMS codng and billing regulations

Minimum five (5) years of Lab Charge capture and billing experience required, EPIC Charge Capture experience preferred

Understands charge capture processes, read and comprehend the patient chart

Knowledge of healthcare regulatory compliance, HIMS, HIPAA, and coding rules, and 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 :

$35.45 - $53.17 USD Hourly

The Physical Requirements and Working Conditions of this job are available. 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.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)

An 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.