The Reimbursement Charge Specialist works under the supervision of the Health Information Manager. The primary job functions of the Reimbursement Charge Specialist is to identify, confirm and capture charges to ensure the highest level of reimbursement for services provided. These charge items include, but not limited to reimbursable supplies, surgical levels, bedside procedures, Emergency Department and Urgent Care facility levels, Drug administration, contrast charges, procedures reportable by a charge (ED procedures, oxygen administration) and observation charges. The charge specialist will also confirm the accuracy of PACU and SDS monitoring charges as well as verifies the accuracy of room and board charges, confirms the order for patient status as appropriate by insurance carrier guidelines. The charge specialist may also be involved in educating staff in proper documentation techniques to optimize reimbursement.
GED/High School Diploma required. Successful completion of medical terminology course preferred.
Certified Medical Assistant preferred
Previous hospital reimbursement experience preferred
D. Interpersonal Skills
Must be able to gather and exchange information with coders, nurses, and other hospital personnel.
E. Essential Technical/Motor Skills
Above average computer/data entry skills in order to input information into a computer and function in a variety of computer software programs.
F. Essential Physical Requirements
Ability to lift, push, carry, and file charts Ability to sit and analyze data for long periods of time
G. Essential Mental Requirements
Ability to understand written and verbal directions in order to analyze a patient’s medical record Ability to concentrate and pay close attention to detail for an exceptional period of work time when reviewing and analyzing records for
H. Essential Sensory Requirements
Ability to see and read medical information including physician and nursing hand writing, ancillary and electronically generated reports
I. Exposure to Hazards