I have over five years of experience in charge capture and revenue cycle management, working closely with clinical and billing teams to ensure accurate coding and billing practices. My role involved auditing charge sheets, identifying discrepancies, and implementing corrective actions to minimize revenue leakage. I am proficient in using EHR systems and have a strong understanding of CPT, ICD-10, and HCPCS coding standards. My efforts have consistently improved charge accuracy and compliance, contributing to a 15% increase in revenue recovery in my previous role.

I ensure compliance by staying updated on the latest healthcare regulations, such as HIPAA and CMS guidelines, and regularly attending coding workshops. I conduct routine audits of charge capture processes and collaborate with compliance officers to address any issues. Additionally, I use advanced software tools to validate coding accuracy and flag potential errors. My proactive approach has helped maintain a 98% compliance rate in my previous roles, reducing the risk of audits and penalties.

In my previous role, I discovered a recurring issue where certain procedures were undercoded, leading to significant revenue loss. I conducted a root cause analysis and found that the issue stemmed from outdated charge descriptions in the EHR system. I collaborated with IT and clinical teams to update the system and provided training to staff on proper coding practices. This resolution not only recovered $200,000 in lost revenue but also prevented future discrepancies, improving overall charge accuracy.

When discrepancies arise, I first review the clinical documentation and compare it with the billed charges to identify the root cause. I then collaborate with clinicians and coders to clarify any ambiguities and ensure accurate charge capture. If necessary, I escalate the issue to the compliance team for further review. My approach emphasizes clear communication and teamwork, which has consistently resolved discrepancies efficiently and maintained billing integrity.

I improve charge capture efficiency by implementing automated tools for real-time charge validation and integrating them with EHR systems. I also conduct regular training sessions for clinical and billing staff to ensure they understand coding standards and documentation requirements. Additionally, I analyze charge capture metrics to identify bottlenecks and implement process improvements. These strategies have reduced charge lag time by 30% and increased overall revenue cycle efficiency in my previous roles.