Charge Capture Specialist, FT, Days, - Remote

Prisma Health
United States, South Carolina, Greenville
300 East McBee Avenue (Show on map)
Jan 28, 2026
Inspire health. Serve with compassion. Be the difference. Job Summary Serves as the charge capture subject matter expert responsible for charge capture analysis, workflow and maintenance of designated work queues. Resolves edits prior to billing. Evaluates and provides guidance related to billing and/or clearinghouse system edits. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Works assigned Epic charge review and billing work queues to meet our compliant standardized min daytime frame, ensuring appropriate medical documentation exists to support charge capture compliance. Validates assigned principal diagnosis, all secondary diagnoses, principal procedures and all secondary procedures and CPT/HCPCs codes. Advises departmental revenue owners and their staff on proper usage of charge codes, identifies opportunities for capturing additional revenue in accordance with payer guidelines and develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Reviews and applies appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage. Completes internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma/highest degree earned Experience - Three (3) years health care revenue cyclerelated experience In Lieu Of In lieu of the education and experience requirements noted above, an Associate degree may be considered. In lieu of the education and experience requirements noted above, a Health Science/Business/Coding Certificate and two (2) years of healthcare revenue cycle related experience may be considered. Required Certifications, Registrations, Licenses Certification in one of the following: RHIT, RHIA, CCS, CPC, CRCR, CRCA or CHFP preferred Knowledge, Skills and Abilities Understanding of OPPS, IPPS, ICD10 Coding, HCPCS/CPT Coding, revenue cycle processes. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019091 Revenue Integrity Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.