Job Description

Rewarding career. Competitive salary. Outstanding benefits.

The Charge Capture Specialist is responsible for the accurate, complete, and timely capture of all billable services, procedures, supplies, and devices across multiple hospital departments, including the Operating Room (OR), Emergency Department (ED), and Medical-Surgical units. The role ensures clinical documentation in Epic appropriately supports charging and aligns with CMS, payer, and organizational requirements, safeguarding revenue integrity and compliance.

STANDARD EXPECTATIONS

Promotes a Positive Working Environment + Conducts oneself in line with organization's mission, values and standards of behavior.
+ Accepts change and challenges with a positive attitude.
+ Consistently adheres to organizational policy.
Communicates Effectively + Builds relationships and works collaboratively with other staff.
+ Provides timely operational updates to supervisor.
+ Responds to communications in a timely manner.
Performs Duties Efficiently and Effectively + Follows procedures.
+ Acts in compliance with applicable federal, state, and local regulations.
+ Performs other duties as assigned.

DUTIES & RESPONSIBILITIES

Primary Service Areas


Operating Room (OR) Emergency Department (ED) Medical-Surgical (Inpatient & Observation) Ancillary services as assigned (e.g., PACU, Infusion, Endoscopy) Revenue Cycle
Enterprise Charge Capture (Epic)


Review and validate charges in Epic (OpTime, ClinDoc, ASAP, Resolute, and hospital charge capture workflows). Ensure capture of billable: + Procedures and professional/technical services
+ Bed charges, observation services, and patient status-driven charges
+ Supplies, implants, devices, and high-cost items
+ ED-specific services (e.g., trauma activations, critical care time)
Identify and resolve missing, duplicate, late, or incorrect charges prior to claim submission.
Documentation Reconciliation & Validation


Reconcile charge activity against clinical documentation from: + Physicians, APPS, and nursing staff
+ ED provider notes and nursing flow sheets
+ OR operative and intraoperative records
+ Med/Surg daily documentation, MARs, and care plans
Query clinical staff when documentation does not sufficiently support charging. Ensure alignment between orders, performed services, and documented care.
Department-Specific Focus Areas


Operating Room


Validate surgical procedure charges, OR time, implants, and supplies. Reconcile preference cards, case carts, and implant logs. Ensure correct capture of add-on and discontinued procedures. Coordinate OR supply tracking and acquisition of internal and external providers.
Emergency Department


Validate E/M levels, procedures, critical care time, and trauma activations. Review observation starts/stops and status changes. Ensure accurate capture of ED supplies and bedside procedures.
Medical--Surgical Units


Validate room and board charges, observation vs. inpatient status-related charges. Ensure capture of nursing-driven charges, infusions, and bedside procedures. Monitor missed or late charges related to daily care activities.
Epic Build & Workflow Optimization


Partner with Epic analysts and Revenue Integrity to: + Maintain accurate charge routers and department mappings
+ Validate charge triggers linked to documentation and orders
+ Support preference card and supply master accuracy
Participate in Epic upgrades, testing, and workflow validation related to charge capture across all covered departments. Processing and instrument technology.
Compliance & Regulatory Oversight


Ensure charging complies with: + CMS OPPS/IPPS requirements
+ NCCI edits and bundling rules
+ Observation and condition code requirements
Identify risks related to undercharging, overcharging, or unsupported services. Support audits and payer inquiries by providing documentation and charge justification.
Collaboration, Education & Support


Serve as a liaison between: + Clinical leadership (OR, ED, Med/Surg)
+ Coding, CDM, and Patient Financial Services
+ Epic and Clinical Informatics teams
Educate clinical staff on documentation standards impacting charge capture. Provide feedback to leadership on recurring charge and documentation issues.
Reporting, Monitoring & Continuous Improvement


Develop and analyze Epic reports on: + Charge lag and late charges
+ Missed supply or procedure charges
+ Charge correction trends by department
Identify revenue leakage opportunities and recommend corrective actions. Track KPls, including: + Charge accuracy rate
+ Charge lag days
+ Denial trends related to charging/documentation

QUALIFICATIONS

Required


Two (2) years of operating room inventory ordering and charging experience. Five (5) years of experience in hospital clinical or revenue cycle operations. Advanced understanding of Epic inpatient and procedural workflows (OpTime, ASAP, ClinDoc, Resolute). Knowledge of hospital charging, CDM structure, and revenue cycle operations. Familiarity with ED, OR, and Med/Surg clinical workflows. Understanding of CMS OPPS/IPPS, observation rules, and supply/implant billing. Strong analytical, communication, and problem-solving skills.
Preferred


Associate's degree in a related field.

WORK ENVIRONMENT AND PHYSICAL DEMANDS

This position is primarily worked in an office environment. Primarily stationary with occasional standing, walking, lifting, reaching carrying, kneeling, bending, stooping, pushing and pulling of objects weighing up to 20lbs. The position requires continuous finger dexterity and fine manipulation.


The employee must demonstrate the ability to perform the essential functions of the position, with or without reasonable accommodation.


If you are looking for a rewarding career with a great team, you'll enjoy your career with us !

POSITION DETAILS

Hours per week:


40
Employee Status:


Regular Full Time
Shift:


Day Shift (United States of America)
Pay Range:


$29.00 - $48.50
Compensation: New hires should expect to start at the lower end of the range; actual pay offered will vary based on years of experience.

EMPLOYEE BENEFITS

Our benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457). Medical insurance coverage begins on day one and is available to both full time and part time employees. Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics. Differentials apply for evening, night, and weekend shifts. Our unique PTO plan enables employees to increase their accrual with each year of service!