Charge Capture Reconciliation SpecialistVal Verde Regional Medical Center

Charge Capture Reconciliation Specialist

Category:

Medical Records

Department:

Medical Records

Status:

Full Time

Schedule:

Days

Description:

Job Summary:

This position will be responsible for the review and maintenance of charge documents, and charge capture processes for accuracy and completeness in addition to the ongoing communication with departmental and clinical staff. This role is responsible for facilitating proper charge capture, billing, and adjudication of claims in accordance with standard billing policies and reimbursement principles, clinical documentation practices, through the use of the hospital’s electronic information systems and manual processes. In addition, this position will coordinate with the clinical departments to identify opportunities for increased charge capture, reimbursement, and improved documentation, and will work collaboratively on areas for improvement with the appropriate members of the revenue cycle and clinical teams.

Specific Responsibilities:

1. Ensures accurate and timely charge capture methodologies are in place and executed for the assigned work unit—ensuring they are consistent (in terms of standardization) across pertinent areas/facilities as appropriate; reconciles charges against source documents to ensure that charges have been captured completely and accurately
2. Provides training to staff engaged in related charge-capture/reconciliation activities to ensure procedures are understood and charges are booked timely, appropriately, accurately, and completely, and are properly documented
3. Assists interdepartmental teams in troubleshooting charging/documentation discrepancies
4. Facilitates communication with clinical staff regarding documentation opportunities and/or requirements
5. Performs and monitors daily charge capture, revenue reconciliation, late charge trending, keep late charge lag within compliance, revenue trending, and work queues for assigned departmental revenue owners for compliant charge capture detail and documentation integrity. Identifies operational trends and benchmarks.
6. Prepares reports and provides departmental summary information to the HIM Director and Senior Director of Revenue Cycle Management
7. Responsible for staying current with the billing regulations for both governmental and non-governmental payers
8. Responsible for ensuring billing is in compliance with both governmental and non-governmental payers
9. Will lead and/or participate in departmental performance improvement projects
10. Responsible for all other duties as assigned by management
11. Performs other duties as assigned.

Standards & Expectations

1. Personal Behavior: The Mission/Vision/Legacy (MVL) Statement and Core Values defines the culture of VVRMC and each employee is expected live MVL and adhere to the behaviors defined in the six (6) Core Values. This agreement is reinforced annually. All employees are to understand and actively support MVL and the Core Values. Managers are expected to be active role models and intervene when appropriate. Attached as a part of this job description is a copy of the MVL and Core Values.
2. 2. Compliance to Regulatory and/or Administrative Rule: VVRMC is a County Hospital District operating in compliance with the rules, regulations, and policies established by Federal, State, County and hospital authorities. Employees and manager are expected to understand the limitations of their role and responsibilities and to act within their scope of work. Each is expected to ask for assistance from competent leadership when in doubt.
3. Job Competency: All positions in the hospital require competency assessments each year. Each employee and manager is expected to satisfactorily complete the appropriate testing and/or assessment required within the time frame established.

Minimum Entry Level Qualifications

1. Experience and/or level of competency: 3 years healthcare experience required; auditing, and knowledge of CPT and ICD 10 billing/coding preferred.
2. Academic Preparation: High School Diploma or Equivalent required. Some College preferred

Job Location:

On-Site

Posted:

Thursday, September 24, 2026

Closing:

Open until filled

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