Charge Capture Specialist

Job Summary

The Charge Capture Specialist is responsible for reviewing, auditing, and reconciling clinical and procedural documentation to ensure accurate and timely charge capture for billing purposes. This role supports revenue integrity by identifying errors, omissions, and opportunities for improvement in the charge entry process. The Charge Capture Specialist collaborates with clinical departments, coding, and revenue cycle teams to ensure compliance with billing regulations and organizational policies.

Essential Functions

• Reviews daily unbilled and discharged account reports to reconcile charges with clinical documentation and ensure completeness.
• Audits patient records to identify missing, inaccurate, or delayed charges and works with departments to resolve discrepancies.
• Supports departments with charge entry education and process improvement to enhance compliance and reduce billing errors.
• Monitors unbilled accounts and communicates outstanding issues to department leaders and staff to support revenue cycle goals.
• Identifies trends in underpayments, denials, and revenue leakage, and escalates findings to appropriate stakeholders.
• Assists in the development and delivery of training materials for clinical and administrative staff related to charge capture practices.
• Follows all applicable coding, billing, and documentation guidelines to maintain compliance with industry standards.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
• 2-4 years of experience in charge entry, billing, coding, or healthcare revenue cycle required

Knowledge, Skills and Abilities

• Knowledge of hospital and physician charge capture workflows and revenue cycle processes.
• Familiarity with coding guidelines, billing regulations, and documentation requirements.
• Strong analytical and problem-solving skills to identify discrepancies and revenue opportunities.
• Ability to communicate effectively with clinical and non-clinical stakeholders.
• Proficiency in electronic health records (EHR), billing systems, and Microsoft Office.
• Attention to detail and ability to work independently in a deadline-driven environment.

Licenses and Certifications

• Certified Professional Coder (CPC) preferred
• RHIT - Registered Health Information Technician preferred