Hospital Charge Capture Specialist

The Hospital Charge Capture Specialist is responsible for accurately calculating, entering, reviewing, and reconciling charges associated with hospital outpatient procedures, including anesthesia, nerve blocks, recovery services, implants, and medical supplies. This position ensures charges are supported by appropriate documentation, assigned the correct HCPCS and revenue codes, and processed in accordance with established charging guidelines and applicable requirements. The specialist works closely with surgical services, billing, revenue cycle, and other hospital departments to resolve discrepancies, maintain accurate records, support reporting requirements, and promote complete and accurate reimbursement. Essential Functions Charge Calculation and Entry

• Calculate procedure time and input charges in accordance with established charging guidelines.
• Calculate and enter charges for anesthesia and nerve blocks.
• Calculate and enter recovery room charges.
• Calculate implant and medical supply charges, ensuring the appropriate revenue codes are applied.
• Enter appropriate HCPCS codes for implants and devices associated with outpatient cases.
• Review and clear charges held in suspense in the Optimum system.
• Oversee bill-only transactions, investigate discrepancies, and obtain missing bill sheets or supporting documentation.
• Reconcile entered charges using CostFlex server reports and make corrections as necessary.

Billing, Reporting, and Compliance

• Assist with resolving billing issues, including missing HCPCS codes, incorrect revenue codes, and incomplete charge documentation.
• Maintain the Access database used for OSHPD reporting and hospital committee reporting.
• Coordinate with the Revenue Cycle team to update charge tickets as needed.
• Identify and communicate charge discrepancies, missing documentation, and opportunities to improve charge accuracy.
• Maintain organized records and supporting documentation for reconciliation, reporting, and audit purposes.
• Follow established hospital policies, procedures, charging guidelines, and applicable regulatory and billing requirements.
• Maintain the confidentiality of patient, financial, and other sensitive information.
• Experience in hospital billing, charge capture, revenue cycle, patient financial services, or a related healthcare administrative function.
• Strong attention to detail and demonstrated accuracy when working with financial and billing data.
• Proficiency in Microsoft Excel and experience maintaining databases or electronic records.
• Ability to investigate discrepancies, research information, and resolve issues independently.
• Strong organizational, analytical, communication, and problem-solving skills.
• Ability to manage multiple priorities and meet established deadlines.