Charge Capturer

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.

About the role

At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees contribute to the team approach of promoting access, continuous, comprehensive care, and work to provide quality improvement in the care provided to patients.

This position directly reports to the Business Manager, Perioperative Services and is responsible for charge capture for Perioperative Services, including Anesthesia time and supplies, PACU time and supplies, OR time, OR supplies, OR implants/explants, Surgease time/supplies/implants/explants, Urology time/supplies/implants/explants. Additional responsibilities include the audit and reconciliation of Hemodialysis and Litho charges, rectifying charge errors in Labor and Delivery and Endoscopy, and managing Endoscopy free text markup. The role also involves developing and maintaining an implant charging process and serving as a liaison with the SBO, Revenue Department, internal audit, and MIS for all charge capture issues.

Responsibilities

• Responsible for both internal and external charging audits and implementing audit recommendations.
• Analyze and document all problems and resolutions related to the OR charging process.
• Develop and maintain a working knowledge of CPT coding, ICD-9 coding, DRGs, and revenue contracts to ensure proper and effective charge capture in Perioperative Services.
• Develop working knowledge of all standard Hospital software products related to Perioperative Services charging (e.g., SDK, Cerner, EPIC, Lawson).
• Develop working knowledge of charging interfaces and communicate with vendors and Management Information Systems concerning interface requirements.
• Develop and maintain an implant charging policy and process, including defining chargeable vs. non-chargeable items, and conduct staff in-service on charging policies.
• Assist all departments within Perioperative Services to create and maintain disaster recovery measures for automated charging processes.
• Conduct daily reviews of operating room charges to ensure completeness, timeliness, and accuracy.
• Review late charge reports daily and take action to reduce or eliminate late charges.
• Coordinate with SBO and Revenue to improve charge capture and resolve charging issues.
• Identify, implement, and update perioperative charging policies and procedures.
• Work directly with OR Supply staff, Nursing staff, and OR Management to resolve missing charges and follow up on documentation accuracy (e.g., implants, serial numbers, manufacturers).
• Verify accuracy of charging data daily and develop data integrity reports to address issues.
• Develop dashboards/scorecards for management within Perioperative Services related to charges.
• Audit appropriate use/documentation of charges for defined case-specific new technologies.
• Audit specific cases to ensure accuracy of invoiced items and charged items.
• Oversee the maintenance and reporting of data through perioperative departmental information systems.
• Generate, verify, and distribute reports, ensuring data integrity and addressing issues.
• Perform monthly data integrity reconciliations of the daily Master Log of Cases and close-of-month validation processes, making corrections as needed.
• Maintain current working knowledge of each module (nursing documentation, materials management, anesthesia documentation, billing).
• Coordinate with organization personnel to determine, design, and recommend system standards for Perioperative Services.
• Assist with Picklist and Preference Card Management to ensure continuing accuracy.
• Drive revenue enhancement and streamline processes to increase revenue without increasing labor.
• Provide advanced computer system support and advanced reports to VPs, Executive Directors, Managers, Department Chiefs, Medical Directors, and approved physicians.
• Oversee Business Analysts' charge capture roles.
• Serve as a liaison between EPIC, Revenue Integrity, CMM, Marketing, and Nursing for all reporting and charge capture services.
• Assist scheduling with CPT procedure booking and team coordinators in creating surgeon preference cards.
• Manage work queues in EPIC and provide reports to Senior Management.
• Use Six Sigma, LEAN, change management, and other performance improvement methodologies to achieve goals.

Requirements

• Bachelor’s Degree in Business Administration or related discipline plus related work experience, or Associate’s degree in a related discipline plus 5-7 years of related experience.
• 3-5 years of related experience.
• CPT Coding knowledge required; coder certification preferred.
• Minimum of 3 years in Healthcare and/or Operating Room environment preferred.
• Financial, business, and managerial experience strongly preferred.

Skills

• Strong interpersonal skills with excellent verbal and written communication abilities.
• Ability to effectively translate user needs into automated informational data.
• Extensive experience with industry standards such as Windows 2000/XP, MS Word, Excel, PowerPoint, Access.
• Training or willingness to train in current performance management techniques (e.g., CAP, Workout, Six Sigma).
• Knowledge of POINTS, SDK, and Lawson.