Clinical Trials Charge Capture Specialist

The Clinical Trials Charge Capture Specialist follows charge capture initiatives and develops processes and procedures to ensure accurate and timely capture of all chargeable procedures. Exemplifies company mission, vision and values and acts in accordance with company policies and procedures.

Job Responsibilities:

• The Charge Capture Specialist will have a role in identifying workflow best practices and preventing inaccurate services from being billed.
• Follows coding/charging guidelines and policies.
• Conducts thorough review of medical records and utilizes coding expertise to ensure that clinical documentation supports all billed charges.
• The position will be responsible for Account, Charge Review, and Claim Edit Work queues and the continual monitoring, reduction, and transfer of AR associated with assigned areas. Assigned responsibilities may include Medication Administration, Research, or Emergency Department procedures and leveling.
• Researches all current and future complex Medicare requirements for maximum reimbursement and billing compliance guidelines through use of resources such as MedAssets Code Correct and Knowledge Master, CMS, and Optum.
• Follows up on all incomplete and inaccurate charges and makes prompt corrections.
• Communicates effectively with team, departments and clinical staff.
• Engages in implementing process improvement initiatives by recognizing revenue enhancement opportunities.
• Willingness to engage in continual education and training in the subject field.
• Assigned to special projects as they occur.
• Other relevant duties as assigned.

Required Job Qualifications:

• High School Diploma or equivalent.
• One to two years of healthcare experience working with billing, charge entry, charge capture, or CDM.
• Proficient and functional knowledge of reviewing charges in an EMR system (Epic, Meditech, Siemens).
• Excellent communication and organizational skills.
• Analytical and problem-solving skills.
• Ability to manage multiple tasks simultaneously.
• Ability to work under minimal supervision and as a team member.
• Ability to achieve stated objectives and goals.
• Ability to demonstrate continuous personal development and improvement.
• Proficiency in the use of personal computers for communication and internet access.
• Ability to observe and report on charge entry trends and patterns.
• AAPC or AHIMA certification in coding within the first year. Certifications may include Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and Certified Medical Coder (CMC), and any other specialized coding certification approved by the two main governing bodies.

Preferred Job Qualifications:

• Knowledge of medication administration, research billing, emergency room procedure, or E&M level charge capture.
• General understanding of various payment and coding systems in healthcare.