Senior Charge Capture Specialist

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

 

Dept- Patient Financial Services/Charge

REQ #83619

 

Job Title: Senior Charge Capture Specialist


Responsible for reviewing and maintaining CDM, ensuring all data elements are accurate and comply with all payors requirements.  Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.

 
Roles & Responsibilities:

  • Maintain CDM (Charge Description Master) and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor and regulatory requirements.       
  • Review and interpret various regulatory billing and coding updates, to remain compliant and accurate to minimize misbillings.   
  • Resolve issues that arise from information submitted and revenue cycle issues.       
  • Provide validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.           
  • Provides training and mentorship to specific revenue producing departments.
  • Experience with electronic health records. Working knowledge of Epic is preferred.
  • Previous experience working NCCI billing edits.
  • Knowledge of third party payer contracting language and reimbursement terms. 
  • Knowledge of medical terminology
  • Familiar with multiple (widely used) healthcare patient accounting/billing systems.
  • Proficiency with Excel, MS Office Suite, Internet Explorer, and Database Management application software.
  • Ability to communicate effectively.
  • Knowledge of Medicare/Medicaid regulations.
  • Chargemaster/CDM knowledge
  • Strong organizational and time management skills

Requirements:

  • Associates Degree. Bachelor’s degree preferred.
  • Coding certificate/licensure preferred.
  • 2 years of experience in medical practice/outpatient coding and /or medical practice business office or patient accounts experience is preferred.

 
Strength Through Diversity

The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.
 
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
 
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
 
The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. 

EOE Minorities/Women/Disabled/Veterans

 

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