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Charge Capture Representative Jobs (NOW HIRING)

Saintfrancis

Senior Revenue Integrity Analyst

The Senior Revenue Integrity Analyst serves as a subject-matter expert in charge capture, charge ... None. Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management ...

Honorhealth

Revenue Analyst II

Serves as liaison between Revenue Services and support areas, Department Managers and special task forces/committees representing CDM and charge capture issues. Serves as internal coordinator for ...

Mercyhealth

RN Revenue Integrity Analyst

Janesville, WI · On-site

$74K - $111K/yr

Interacts with clinical department directors to monitor charge capture functions across all ... Interacts professionally with coworkers and customers to represent the Revenue Integrity Department ...

Surgery Partners

Patient Service Representative

Bozeman, MT · On-site

$18.25 - $23.25/hr

Patient Service Representative Candidates with Scheduling, Insurance verification, and Registration ... Charge capture and over-the-counter payment posting; * Insurance verification and eligibility;

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Charge Capture Representative information

What is a charge capture representative?

A Charge Capture Representative is a healthcare professional responsible for ensuring that all services provided to patients are accurately documented and billed. They review medical records, physician notes, and other clinical documentation to identify billable procedures and services. Their work helps healthcare facilities maximize reimbursement and maintain compliance with billing regulations. Charge Capture Representatives play a crucial role in the revenue cycle by minimizing missed charges and reducing the risk of billing errors.

What are the key skills and qualifications needed to thrive as a charge capture representative?

To thrive as a Charge Capture Representative, you need a solid understanding of medical billing, coding practices, and healthcare reimbursement systems, often supported by a relevant associate degree or certification such as CPC (Certified Professional Coder). Familiarity with hospital information systems (HIS), electronic health records (EHRs), and coding software like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring accurate charge entry and collaboration with clinical staff. These skills are crucial for ensuring proper revenue capture, compliance with regulations, and minimizing billing errors in healthcare organizations.

What are some common challenges faced by charge capture representatives, and how can they be addressed?

Charge Capture Representatives often encounter challenges such as missing or incomplete clinical documentation, coding discrepancies, and keeping up with frequent regulatory changes. To address these, it’s essential to maintain proactive communication with clinical staff and coders, regularly attend training sessions, and utilize audit tools to ensure accuracy. By developing strong attention to detail and staying organized, Charge Capture Representatives can help minimize errors and improve the efficiency of the revenue cycle.

What is the difference between Charge Capture Representative vs Medical Billing Specialist?

AspectCharge Capture RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certification preferredHigh school diploma; certification often preferred
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare facilities
Job FocusAccurately capturing charges at point of careProcessing and submitting claims, managing payments

While both roles are essential in healthcare revenue cycle management, a Charge Capture Representative primarily focuses on recording charges accurately during patient care, whereas a Medical Billing Specialist handles the claims process and payment collections. Understanding these differences helps healthcare providers optimize billing workflows and ensure proper reimbursement.

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Charge Capture Representative jobs near you
Infographic showing various Charge Capture Representative job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 77% Physical, 1% Hybrid, and 22% Remote job distribution.

Senior Revenue Integrity Analyst

Saintfrancis

Remote

Full-time

Re-posted 20 days ago

Job description

Current Saint Francis Employees - Please click HERE to login and apply.

Full TimeDays

RECENT (last 3-5 years) Epic HB or PB /Revenue Integrity experience.

Job Summary: The Senior Revenue Integrity Analyst serves as a subject-matter expert in charge capture, charge workflow optimization, revenue reconciliation, and the evaluation of new or enhanced services. This role leads complex investigations into revenue leakage, develops and implements corrective action plans, and supports enterprise-wide process improvements. The Senior Analyst partners closely with clinical operations, coding, finance, Information Technology (IT), and revenue cycle leadership to ensure accurate charging practices within Epic.

Minimum Education: High school diploma or GED. Bachelor's degree in Business, Finance, Healthcare Administration, or related field, preferred.

Licensure, Registration and/or Certification: None. Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management Association (HFMA), preferred. Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, Revenue Integrity), preferred.

Work Experience: Minimum 5 years of Billing, Charge Capture, Charge Description Master (CDM) Management, Revenue Cycle Analytics, or Revenue Integrity within Healthcare experience.

Knowledge, Skills, and Abilities: Advanced knowledge of charge capture processes, charge router logic, charging methodologies, and clinical workflows. Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies. Strong understanding of Epic workflows, including charge router, charge review, work queues, and Charge Description Master (CDM) integration. Strong data analysis capabilities, including with large datasets, financial modeling, and root-cause analysis. Knowledge of healthcare regulatory requirements and revenue cycle operations. Strong leadership and collaboration skills. Excellent communication skills, both written and verbal that present clear and concise information. Effective organizational skills and attention to detail. Ability to educate and mentor staff, influence decision-makers, and communicate technical concepts to non-technical audiences. Ability to independently manage complex projects, timelines, and cross-functional deliverables.

Essential Functions and Responsibilities: Leads efforts to ensure accurate, complete, and comprehensive charge (revenue) reconciliation is performed by charge generating departments. Reviews proactively Epic charging logic, including charge triggers, routing rules, and work queue management. Conducts advanced analytics to identify financial variances, operational gaps, and revenue risk. Partners with coding, clinical leadership, finance, and IT to design and implement improvements to charge capture and billing processes. Designs and leads development of complex reports, dashboards, and analyses. Provides training, mentorship, and guidance to Revenue Integrity Analysts and department staff. Leads or co-lead enterprise initiatives related to charge workflows, revenue integrity, regulatory readiness, or service-line reviews. Identifies and escalates systemic compliance or reimbursement risks to leadership.

Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships: Coordinates activities of others (does not supervise). Coordinates and leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction.

Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job.This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Patient Accounting - Yale Campus

Location:

Virtual Office, Oklahoma 73105

EOE Protected Veterans/Disability

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