Charge Entry Specialist

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary:

The Charge Capture Specialist follows charge capture initiatives and develops processes and procedures to ensure accurate and timely capture of all chargeable procedures. The individual who holds this position exemplifies the Ovation Healthcare mission, vision and values and acts in accordance with all policies and procedures.

Responsibilities:

• Accurately enters charges on patient accounts for services rendered by client clinicians in accordance with CMS and AMA guidelines
• Responsible for assigned Account, Charge Review, and Claim Edit Work queues and the continual monitoring, reduction, and transfer of AR associated with assigned areas
• Follows-up on all incomplete and inaccurate charges and makes prompt corrections.
• Adheres workflow best practices and prevents inaccurate service/CPT codes from being billed.
• Follows client coding/charging policies and guidelines.
• Conducts thorough review of medical records and utilizes coding resources to ensure that clinical documentation supports all billed charges.
• Communicates effectively with team, compliance, departments and clinical staff.
• Meets or exceeds quality and productivity standards set by direct manager
• Engages in continual education and training in the subject field.
• Other relevant duties and special projects as assigned.

Required Qualifications:

• High School Diploma or GED required.
• At least two years of healthcare experience working with billing, charge entry, charge capture, research or CDM required.
• Proficiency with medical coding terminology. Must demonstrate knowledge of the three code sets that are currently in use: Current Procedural Terminology (CPT), ICD-10-CM, and Healthcare Common Procedure Coding System (HCPCS) Level II.
• Excellent communication and organizational skills.
• Analytical and problem-solving skills.
• Ability to work under minimal supervision and as a team member.
• Ability to observe and report on charge entry trends and patterns.
• Proficiency with MS Office Suite.
• Strong problem solving and financial analytical skills. High degree of accuracy for analyses and processes.

Preferred Qualifications:

• General understanding of various billing, payment and coding systems in healthcare.
• Proficient and functional knowledge of entering and reviewing charges in an EMR system (i.e. EPIC).
• AAPC or AHIMA certification in coding. 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. If not certified at time of hire, candidate will obtain within twelve months of start date.