Charge / Code Capture Specialist - Health Information Management (Remote)

United States·Fishersvillemid

OperationsManagement

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Overview

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes,

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OperationsManagement

At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley.

Learn more about career opportunities on our Careers Page.

Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority.

What We Offer

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We believe in taking care of the people who care for our community. That’s why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being, career development, and work-life balance. Whether you're launching your career or bringing in years of experience, we provide the tools, resources, and encouragement to help empower you to reach your full potential — personally, professionally, and financially.

Explore our Benefits, current Hiring Incentives, and our Taking Care of Us initiative — which embraces Belonging, Respect, Inclusion, Diversity, Growth, and Equity (B.R.I.D.G.E.) — to see how we invest in our team members and culture.

Duties of the Charge/Code Capture Specialist include reviewing clinical documentation as appropriate to extract data and accurately assign proper facility level CPT based on set algorithm and coding metrics. Leveling requirements include knowledge of payer specific coding guidelines and evaluation, and management coding and procedural coding as required. Under the supervision of the HIM Coding Manager, performs duties assigned that include excellent communication, accurate leveling and data entry, and all essential duties of the department as required by the department director.

This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.

Accurately assign appropriate facility levels and procedure codes for all ED/OBS service within accordance of the CPT and CMS guidelines.
Accurately assign appropriate E/M levels, OBS hours, and Injection and Infusions.
E/M Level assignment will be assigned based on the Augusta Health’s charge capture criteria.
Understand and maintain education on all CPT/ICD-10/HCPCS guidelines, to include revisions, deletions, additions.
Make necessary changes to claims to ensure accurate billing regarding issues, proper code selection, and payer specific guidelines.
Communicate effectively with providers/office manager/auditors/billing department to ensure the highest level of service is being captured.
Review providers dictation as needed to ensure all documentation is accurate.
Provide technical guidance to physicians and other department staff to include identifying and correcting errors, such as incomplete or missing documentation, instruction on proper code usage in accordance to guidelines, and maintaining an open line of communication at all times.

Requirements

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Education: High School Diploma or GED equivalent
Licensure/Certification: CPC Certification
Experience: None
Driver’s License: N/A
Eligibility to work in the United States and meet Virginia state employment requirements

Education: None
Licensure/Certification: None
Experience: Two or more years of E/M leveling experience and at least one year of procedural coding experience
Prior experience in a hospital, healthcare system, or related service-oriented environment
Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

Requires good written, oral communication and interpersonal skills. ability to effectively communicate with all hospital practitioners is essential.
Demonstrates competency in the use of computer applications and grouper software, Medicare edits, and all coding and abstracting software and hardware currently in use by HIM.
Requires comprehensive knowledge of anatomy and physiology, medical terminology and disease processes.
Requires analytical ability to allow for interpretation of clinical data in all clinical specialties to determine appropriate code assignment.
Requires proficiency in abstracting chart data into computer module.
Requires ability to work independently, an eagerness to learn, attention to detail and good critical thinking skills.

Augusta Health is an independent, nonprofit, mission-driven health system located in Fishersville, Virginia, in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center—a 255-bed facility—and Augusta Medical Group, which operates 40 practice locations and four urgent care centers. Our commitment to excellence, innovation, and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.

Discover more about our history, values, and community impact on our About Us Page.

Augusta Health recruits, hires, and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.