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Charge Capture Specialist
Charge Capture SpecialistOption 1 Staffing Services, Inc. • Sacramento, CA, US
Charge Capture Specialist

Charge Capture Specialist

Option 1 Staffing Services, Inc. • Sacramento, CA, US
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  • [job_card.full_time]
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Job Description

Charge Capture Specialist

Hybrid / Remote (Throughout California)

Salary $44 to $48 per hour

Full-time, Monday-Friday, 8 : 00 AM - 4 : 30 PM

Elevate Your Career by Joining a Premier, Award-Winning Healthcare Organization.

Option 1 Staffing is seeking an experienced and highly detail-oriented Charge Capture Specialist to join our client’s team, focusing specifically on Pathology lab orders. This critical role ensures compliance, accuracy, and timely revenue capture by conducting daily audits and managing complex interactions with various internal departments and external partners. The Specialist is a key accountability holder for billing activities and works collaboratively to identify and resolve charging and coding errors.

Key Responsibilities

  • Daily Charge Audits : Perform daily audits of Pathology lab orders, including facility reconciliations and manual charge entry, under the direction of the OP Lab Manager.
  • Error Resolution : Review, analyze, and resolve exceptions and errors within Charge Review Work Queues (WQ) related to Lab Charges and Coding, ensuring timely corrections to protect Accounts Receivable.
  • Compliance & Education : Follow all internal and external regulatory / compliance guidelines. Assist the Manager in providing updated information and formal education to lab staff and Charge Capture Coordinators.
  • Cross-Functional Collaboration : Serve as a primary point of contact, interacting frequently with the Manager, Director of Revenue & Reimbursement, Charge Master Manager, providers, IT staff, billing coders, and internal / external audit representatives.
  • Billing Oversight : Accountable for daily billing operations, including collaborative work with the LIS Analyst and overseeing the Charge Capture Coordinator staff to ensure WQs are worked, and billing is completed daily.
  • Meetings & Consultation : Provide specialized technical knowledge of billing and attend required weekly Lab working sessions with consultants and the Revenue Integrity team.

Education & Certification

  • High school diploma required; Bachelor's or Associate's degree preferred.
  • Medical Billing and Coding Certificate is required.

    • Experience

  • Minimum five years (open to two) of Lab Charge Capture and billing experience required.
  • Minimum two years of experience in a clinical setting OR two years of administrative support experience.
  • EPIC Charge Capture experience preferred.

    • Skills & Knowledge

  • Advanced expertise in lab coding, CMS coding, and billing regulations, and the charge capture audit application.
  • Strong understanding of charge capture processes and the ability to read and comprehend patient charts.
  • Thorough knowledge of healthcare regulatory compliance, HIMS, HIPAA, and coding rules, with a commitment to maintaining complex, confidential medical records.
  • Proficiency with Windows and Microsoft Office Suite, especially Excel.
  • Experience using EPIC and SOFT (LAB LIS) software systems.
  • Excellent verbal and written English communication and public relations skills.
  • Exceptional organizational skills, with the ability to manage multiple tasks and interruptions.
  • Proven ability to work effectively as a team member with minimal supervision.

    • For immediate consideration, please apply!

    Option 1 Staffing is an award-winning, statewide, recognized leader in staffing and recruiting, specializing in placing the highest caliber of Non-Clinical Healthcare, Information Technology, Supply Chain, Administrative / Office, and Accounting / Finance professionals in contract and direct-hire opportunities. We work with top and emerging companies in the Technology and Healthcare industry.

    We Offer :

  • Excellent opportunity to work for an outstanding, large, and growing company!
  • Awesome Benefits!
  • Excellent salary!
  • Medical Insurance
  • 401K

    • “Best of Staffing Award”

    Best of Staffing Award is the only award in the U.S. that recognizes staffing agencies that have proven superior service quality based entirely on ratings provided by their clients and job candidates. Award winners make up less than 2% of all staffing agencies in North America.

    “Top Performer Award”

    Top Performer Award by Workforce Logiq highlights high-performing staffing companies who are chosen based on a variety of criteria critical to our clients’ satisfaction, including customers serviced, cycle time, submittals per requisition, percentage of submittals hired, program compliance, fill ratio, and more.

    Member American Staffing Association Since 1991.

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