Charge Entry Executive
- Review and Validate: Receive and meticulously review patient encounters, operative reports, superbills, and charge capture documents for completeness and eligibility for billing.
- Accurate Data Entry: Input services rendered, corresponding procedure codes (CPT/HCPCS), diagnosis codes (ICD-10), modifiers, referring provider details, and dates of service into the billing software.
- Fee Schedule Application: Ensure the correct application of client-specific fee schedules and pricing rules during the charge entry process.
- Compliance Checks: Verify that all entered charges and codes adhere to payer-specific rules and established billing guidelines (e.g., NCCI edits, frequency limits).
- Query Resolution: Proactively identify and resolve discrepancies, missing information, or ambiguous documentation by communicating with the client or internal coding teams.
- System Maintenance: Ensure patient demographic and insurance information in the system is current before claim generation.
- Productivity & Quality: Maintain high daily productivity and adhere to strict quality standards to minimize future denial rates.
- Documentation: Accurately document all actions taken and issues resolved related to charge entry.
- Experience: 6 months to 2 years of relevant experience in Charge Entry, Medical Coding, or U.S. Healthcare Billing. (Freshers with a certification in medical coding or a strong RCM background may also be considered).
- Education: Any graduate or diploma holder.
- Coding Knowledge: Foundational understanding of CPT, ICD-10, and HCPCS coding systems and the appropriate use of modifiers.
- RCM Expertise: Familiarity with the basic claim submission process and how charge entry impacts the entire revenue cycle.
- Accuracy: Exceptional attention to detail and ability to perform repetitive tasks with consistent accuracy.
- Technical Proficiency: Strong basic computer skills and experience working with billing platforms (e.g., eClinicalWorks, Kareo, NextGen, AdvancedMD).
- Communication: Good written communication skills for internal reporting and client queries.
- Meticulous Attention to Detail
- Process Compliance
- Time Management and Efficiency
- Accountability and Ownership
- Quality Focus
- Shift Timings: Day & Night Shift
- Work Schedule: Sunday & Monday off for day shift, Saturday & Sunday off for night shift (schedule may vary slightly based on client requirements).