Charge Capture Specialist Resume Samples

The administrative and Admissions department hires a Charge Capture Specialist to undertake responsibility for billing and documenting medical services bills. Working mainly for insurance companies, and hospitals, these specialists complete the following tasks as mentioned on the Charge Capture Specialist Resume – participating in the revenue cycle management process, reviewing patient medical records, ensuring the charges are billed properly, verifying the charges are appropriate, monitoring the billing and coding regulations, and identifying opportunities for process improvement.

Job applicants for this role are expected to possess such skills as – strong attention to detail, excellent interpersonal and communication skills, knowledge of medical terminologies and coding systems, and proficiency in computer applications including billing software. A bachelor’s degree or an associate’s degree in medical billing, coding, or healthcare administration is preferred. Certification or knowledge of medical coding is valued.

Charge Capture Specialist Resume example

Assistant Charge Capture Specialist Resume

Objective : As an Assistant Charge Capture Specialist, Assisted other team members in the performance of their assignments, Sought out opportunities to help rather than waiting to be asked and Considered the impact of your actions on team members throughout CARTI.

Skills : Microsoft Office, Customer Service, Fast Learner, Multi-tasking, And A Great Personality.

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Description :

  1. Participated in trouble-shooting inaccurate charges. Resolves account issues.
  2. Responded to customer service requests from within the CBO and from MIHS.
  3. Entered proper information into the appropriate system accurately and within established timeframes.
  4. Worked on various billing reports as assigned and report any issues back to Manager.
  5. Provided an audit review of department charges for the purpose of accurate revenue capture.
  6. Received incoming charges, verified the completeness of information, and posted required charge information according to established procedures and accuracy.
  7. Followed compliant charge capture and billing practices in accordance with Medicare, Medicaid, or Third Party payer guidelines.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Fresher
Education
Education
BBA


Assistant Charge Capture Specialist Resume

Objective : As an Assistant Charge Capture Specialist, Took directions and initiate actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless workflow, Demonstrated flexibility to perform duties wherever deemed necessary, handled emergency situations in a prompt, precise, and professional manner, investigated and followed through on unusual orders or requests for service or information.

Skills : Microsoft Office, Inpatient Coding.

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Description :

  1. Coded all cardiac procedures for Boise, Meridian, and some Magic Valley accounts.
  2. Reconciled charges to ensure all necessary supplies are on the accounts to avoid CCI edits in the revenue cycle.
  3. Ensured all patient-related charges were entered accurately, completely, and timely.
  4. Ensured all patient-related charges were supported by documentation within the medical record.
  5. Identified opportunities for improving the workflow of the charging process and implementing changes as necessary.
  6. Worked closely with patient financial staff when to resolve billing edits and payer denials.
  7. Organized and prioritized assigned work and scheduled time to accommodate work demands, turnaround time requirements, and commitments.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Fresher
Education
Education
BBA


Junior Charge Capture Specialist Resume

Objective : As a Junior Charge Capture Specialist, I Followed proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention could occur, Recorded/reported the need for service maintenance or repair of equipment, and removed any faulty equipment from service.

Skills : Attention To Detail, Knowledge Of Medical Coding.

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Description :

  1. Checked the anesthesia record for deficiencies, for the records I find deficient I pull the original and take it to the doctor to fix.
  2. Requested the charts from medical records and tagged the original and had the doctor come and fix them.
  3. Printed face sheets, fill out charge sheets, Checked the concurrency for any overlaps the doctors might have in surgery times, and covered the phones.
  4. Recorded which doctors were making which mistakes and turned it into a supervisor.
  5. Entered batches into the system, which were sorted by date, physician, and billing area.
  6. Pulled the patient up in IDX by medical record number and enter in the appropriate billing codes and other information about the surgery.
  7. Made sure all charges met billing deadlines to avoid late charges.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
BBA

Senior Charge Capture Specialist Resume

Summary : As a Senior Charge Capture Specialist, Consistently evaluated work and determine if further steps were needed to meet client expectations, Took initiative to do to redo inadequate or incomplete work, even if it was not yours, Ensured compliance with regulatory standards, responded to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.

Skills : Communication, Analytical, and Technology.

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Description :

  1. Corrected all charge or posting errors for the billing department, and wrote all appeals.
  2. Problem solved and tried to find easier solutions to the typical billing errors.
  3. Organized and posted payments to the patient accounts from self-pay and insurance companies.
  4. Provided medical information to all secondary and tertiary insurance companies when needed.
  5. Established relationships with case managers and clinical directors from various departments within the health system.
  6. Reviewed charge summaries on each patient bill that was produced and identified any discrepancies.
  7. Reviewed and edited primary care, in-patient, hospital, and nursing home charges for accuracy using ICD-9, CPT, HCPC code books, and practice plus.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BBA

Charge Capture Specialist Resume

Objective : To obtain a challenging Charge Capture Specialist position that will allow me to use my bookkeeping and accounting knowledge, while also providing excellent and professional, yet personable, customer service, Minimized non-productive time and fill slow periods with activities that will enable me to prepare to meet the future needs of the company (education, organizing, housekeeping, assisting others).

Skills : Communicate Effectively With Healthcare Providers.

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Description :

  1. Captured, verified, and entry of charges on all Emergency Department visits.
  2. Coded all infusions and injections given in the Emergency Department.
  3. Maintained confidentiality while reviewing all documentation for accuracy and completeness.
  4. Ran daily deficiency logs and corrected any deficiencies found, Tracked daily and monthly patient statistics to complete necessary monthly and yearly reports.
  5. Verified and resolved discrepancies by utilizing the tools and resources available, e.g. KERO Billing systems, medical record Nursing Notes, Charge Master Data, Patient Accounting, and or contacting the appropriate internal department's Anesthesiology, Family Practice, Obstetrics/Gynecology, Orthopedics, and Pediatrics at Sturgis Medical Group.
  6. Billed insurance companies on 1500 and UB04 with accurate CPT coding, Identified deficiencies or discrepancies in nursing and/or physician CPT coding documentation that affects billing, and notified documentation to allow for proactive improvements related to charging capture.
  7. Received incoming phone inquiries from patients regarding billing issues, also assisted patients with billing issues in the office.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA

Charge Capture Specialist Resume

Objective : As a Charge Capture Specialist, I Organized job functions and work areas to be able to effectively complete varied assignments within established time frames, Consistently demonstrated the ability to take the initiative to make decisions/choices without direct supervision.

Skills : Pre-Bill And Retrospective Audits.

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Description :

  1. Received and reviewed charge documents from Presence multi-specialty clinics Registered and accurately entered charges according to CPT and ICD-10.
  2. Facilitated proper charge capture in accordance with standard billing policies and clinical documentation practices through the use of the hospital's electronic information systems, manual processes, and review of the medical record. 
  3. Identified inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correction. 
  4. Followed compliant charge capture program and billing practices in accordance with Medicare, Medicaid, or Third Party payor guidelines. 
  5. Worked knowledge of Microsoft Office products required an Understanding of the composition of a medical record, and the ability to read and interpret it is essential.
  6. Displayed problem-solving ability, initiative, reasoning ability, and decision-making techniques, is detailed oriented, and appropriate use of resources.
  7. Interacted professionally on the phone and in person with staff, doctors, and supporting departments.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA

Charge Capture Specialist Resume

Objective : As a Charge Capture Specialist, I Served as a communication link between clinical/billing personnel and other reimbursement specialists in discussing issues, recommendations, and solutions, and answering questions related to patient charges, auditing, and charge master.

Skills : Certified Professional Coder (CPC), Certified Coding Specialist (CCS).

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Description :

  1. Identified all chargeable ED services and supplies, Calculated ED Evaluation and Management (E&M) level.
  2. Identified infusion, injection, and transfusion charges per existing Current Procedural Terminology (CPT) hierarchy guidelines for ED and outpatient/bedded outpatient services.
  3. Entered charges, quantities, and modifiers, when indicated, within 72 hours of the patient's discharge.
  4. Maintained greater than 97% completion rate of charges in less than 72 hours.
  5. Identified deficiencies or discrepancies in nursing and/or physician documentation that affects billing and notifies the originator of the incorrect documentation to allow for proactive improvements related to charge capture.
  6. Collaborated with Nurse Auditor on routine and special project analysis to assure the accuracy and completeness of charges captured for insurance and patient billing of inpatient and outpatient hospital services.
  7. Assisted special projects related to charge capture and rebill projects, Collaborated with and assisted other departments to address charge capture/documentation issues, and assisted with the development of educational opportunities.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA

Charge Capture Specialist Resume

Objective : As a Charge Capture Specialist, Adhered to Administrative and departmental policies. Ensured that the company operated in an efficient and cost-effective manner by adhering to CARTI attendance policies as documented in the division's Attendance Policy.

Skills : Planning, System Editor.

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Description :

  1. Served as the charge capture subject matter expert responsible for charge capture analysis, workflow, and maintenance of designated work queues. 
  2. Resolved edits prior to billing by analyzing medical record documentation and application of payor guidelines. 
  3. Evaluated and provided guidance related to billing and/or clearinghouse system edits.
  4. Worked assigned Epic charge review and billing work queues to meet our compliant standardized min day time frame, ensuring appropriate medical documentation exists to support charge capture compliance.
  5. Validated assigned principal diagnoses, all secondary diagnoses, principal procedures, and all secondary procedures and CPT/HCPC codes.
  6. Advised departmental revenue owners and their staff on proper usage of charge codes, identifies opportunities for capturing additional revenue in accordance with payer guidelines, and develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections.
  7. Reviewed and applied appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA

Charge Capture Specialist Resume

Objective : As a Charge Capture Specialist, I Worked closely with the Revenue Integrity Coordinator, PFS, and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing, and revenue management.

Skills : Revenue Assistant, Planning.

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Description :

  1. Completed internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes.
  2. Participated in continuing education/training activities including monthly online training, Maintained a clean, neat, and safe environment for patients and staff.
  3. Ensured that supplies and equipment are stored in an organized and efficient manner, Demonstrated correct and safe technique in the use of equipment according to specific product information.
  4. Followed appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
  5. Participated in economical utilization of supplies and ensure equipment is maintained in a clean and safe manner.
  6. Assisted patients, family members, or other clients with concern and empathy; respected their confidentiality and privacy and communicated with them in a courteous and respectful manner.
  7. Identified in a pleasant and positive manner, Assisted in the orientation/training of new team members.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA

Charge Capture Specialist Resume

Objective : As a Charge Capture Specialist, I Identified revenue management opportunities and conducted charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue.

Skills : Revenue Assistant, Billing.

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Description :

  1. Ensured that all billing charges are captured in an appropriate manner. 
  2. Identified, analyzed, and reconciled billing errors or omissions, this included reviewing and posting Professional charges.
  3. Posted all charge batches received each day that do not require additional follow-up with the providers.
  4. Returned incomplete charges to the department for correction, Assisted as needed in the reconciliation of all charges, daily, and weekly as required.
  5. Assisted with the monitoring of practice charge submission status to ensure the timely posting of charges.
  6. Processed Mobile charges and posted them to the system once reviewed for completeness.
  7. Maintained patient confidentiality by adhering to all HIPAA guidelines, Displayed a positive attitude, and constructively contributed to the billing team.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BBA