**Department Name:**
Revenue Integrity-Corp
**Work Shift:**
Day
**Job Category:**
Revenue Cycle
**Estimated Pay Range:**
$24.32 - $36.48 / hour, based on location, education, & experience.
In accordance with State Pay Transparency Rules.
Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.
This position is a vital role within the Revenue Integrity Department. The goal of the Revenue Integrity Department is to ensure accurate and timely charge capture across all Banner facilities. Our team culture promotes a strong support system within the team. This team consists of two Co-Supervisors who work together and provide a "manage up" style, always willing to help the team any time we can.
This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Senior Charge Specialist role you will be able to use your attention to detail to audit and discover areas for corrections. You will be capturing charges for the Surgical Department, working through documentation, and ensuring that charges are accurately captured for our patients. This is a great position if you are self-managed and desire a flexible schedule.
**Schedule** : The hours are flexible with the ability to work your 8-hour shift between 5am-7pm (Monday-Friday).
**Ideal candidate** :
+ XLS experience including filters, formulas, importing data;
+ 4+ years of Charge Capture experience, surgical preferred (clearly reflected in your attached resume).
**This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.** Banner does provide equipment.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position assigns appropriate billing codes for acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company’s Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors. Researches coding for non-standard procedures and assigns codes in accordance with nationally recognized coding guidelines and company standards.
CORE FUNCTIONS
1. Audits daily error reports in both the coding and billing system and makes corrections. Matches, corrects and codes charges that do not drop to billing. Also responsible for working daily monitoring queries that capture errors prior to billing as well as individual requests from the CBO or HIMS. As assigned shares this information with clinical charging staff.
2. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company’s programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).
3. Researches and assigns codes for non-standard procedures, supplies, equipment or materials.
4. Researches missing and incompatible records information supplied by medical staff, transcriptionists, suppliers and others. Assures that all appropriate items, procedures and services are recorded and appropriately billed. Acquires medical record completion as required by national coding standards.
5. Identifies opportunities for improvement in clinical documentation. Provides guidance and education for staff in billing procedures and electronic medical records usage procedures for coding and billing requirements. Maintains a current knowledge of procedural terminology requirements and provides staff with updated information on reimbursement charges and documentation requirements. As assigned, develops and provides education for physicians and staff.
6. Works with company finance and Charge Description Master (CDM) teams to develop and maintain coding and billing database information and with other point of service charging/coding staff to maintain consistency in practice. As assigned, shares this information with clinical charging staff.
7. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.
8. Works independently under regular supervision. Researches complex billing issues and makes necessary corrections to achieve expected reimbursement. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on system business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Requires a level of knowledge normally gained over four or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in researching, reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.
Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.
PREFERRED QUALIFICATIONS
Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.
Additional related education and/or experience preferred.
**Anticipated Closing Window (actual close date may be sooner):**
2025-11-05
**EEO Statement:**
EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
**Privacy Policy:**
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability