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Remote Charge Capture Jobs in Maple Grove, MN (NOW HIRING)

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Remote Charge Capture information

What is a remote charge capture specialist?

A Remote Charge Capture specialist is a healthcare professional responsible for accurately recording and submitting charges for medical services provided by physicians and healthcare facilities, all while working remotely. They ensure that all billable services are properly documented and coded, helping healthcare organizations receive appropriate reimbursement from insurance companies and patients. This role often involves reviewing clinical documentation, verifying billing information, and using specialized software to enter charges. Remote Charge Capture specialists must have a solid understanding of medical coding, billing regulations, and healthcare compliance. Their work helps reduce claim denials and supports the financial health of medical practices.

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

To thrive as a Remote Charge Capture specialist, you need strong knowledge of medical billing, coding (such as ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by certifications like CPC or CCS. Familiarity with electronic health records (EHR), charge capture software, and billing management systems is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills in this role. These competencies ensure accurate and timely charge entry, minimize billing errors, and maximize revenue integrity for healthcare organizations.

What are some common challenges faced by professionals in remote charge capture roles, and how can they be addressed?

Professionals in Remote Charge Capture often encounter challenges such as ensuring the accuracy of medical coding, staying current with frequently changing billing regulations, and communicating effectively with clinical staff from a distance. To address these, building a robust knowledge of coding standards, participating in ongoing training, and leveraging secure communication tools are essential. Additionally, establishing clear workflows and regular check-ins with healthcare providers help maintain accuracy and efficiency in documentation and billing processes.

What is the difference between Remote Charge Capture vs Remote Medical Biller?

AspectRemote Charge CaptureRemote Medical Biller
CredentialsTypically requires coding certifications, medical billing knowledgeRequires coding certifications, billing experience
Work EnvironmentHealthcare facilities, billing companies, remoteHealthcare providers, billing companies, remote
Industry UsageUsed in hospitals, clinics, outpatient centersUsed across healthcare providers, insurance companies
Primary FocusCapturing charges at point of care or serviceProcessing and submitting claims for reimbursement

Remote Charge Capture involves recording charges at the time of service, focusing on accurate data entry. Remote Medical Biller handles the submission of claims and follow-up for payments. While both roles require coding knowledge and work in healthcare settings, charge capture emphasizes real-time data entry, whereas billing centers on claims processing and reimbursement.

What job categories do people searching Remote Charge Capture jobs in Maple Grove, MN look for?

The top searched job categories for Remote Charge Capture jobs in Maple Grove, MN are:

What cities near Maple Grove, MN are hiring for Remote Charge Capture jobs?

Cities near Maple Grove, MN with the most Remote Charge Capture job openings:

Remote Charge Capture jobs near you

Coding Liaison, Professional Billing Coding

Hennepin Healthcare

Minneapolis, MN • Remote

$19.50 - $25/hr

Full-time

Posted yesterday

New

Hennepin Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

190th of 888 rated healthcare providers

Job description

JOB DETAILS
Department: Professional Billing Coding
FTE: 1.00 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: Remote*

*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.
 

Purpose of this position: Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends

RESPONSIBILITIES

  • Assists with New Provider Onboarding
  • Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics
  • Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings
  • Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement
  • Collaborates with other departments and key stakeholders to determine trends and educational needs
  • Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern
  • Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted
  • Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures
  • Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found
  • Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage
  • Other duties as assigned

QUALIFICATIONS
Minimum Qualifications:

  • Two (2) years post-secondary education in HIM field

-OR-

  • Three (3) years external coding/reimbursement experience
  • Certification/License Required: 
    • RN
    • CCS-P, CPC, RHIT, RHIA
    • CDIP, CCDS

-OR-

  • An approved equivalent combination of education and experience

Preferred Qualifications:

  • Bachelor's Degree in health related field

Knowledge/ Skills/ Abilities:

  • Strong interpersonal and communication skills
  • Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers
  • Able to present to both small and large (up to 100) groups
  • Initiates judgment, makes decisions, and works autonomously
  • Ability to work with a variety of stakeholders at various levels of authority within the organization
  • Problem solving and conflict resolution
  • Analytical and critical thinking skills

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