Please note: This position is based at our off-site clinic located at 320 Warner Drive – Lewiston, ID and is not at the main hospital campus.

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Charge Entry Specialist is responsible for timely and accurate entry of charges into the practice management system. This position reviews source data to verify patient demographics, insurance information, and related charge details. The role requires knowledge of CPT, ICD-10, and payer requirements to ensure correct data entry and application of appropriate coding elements. While not a certified coder, the Charge Entry Specialist applies basic coding knowledge to physician practice charges and collaborates with revenue cycle staff, physicians, and management to resolve charge-related issues.

Essential Functions

• Verify all demographic and insurance information in patient registration during charge entry to ensure accuracy.
• Enter office and hospital charges within established turnaround goals.
• Add specific charge-related data (e.g., modifiers, payer-specific details, date of injury) based on coding and billing requirements.
• Apply knowledge of the Correct Coding Initiative (CCI) edits as they relate to charge entry.
• Review source documentation for completeness and accuracy to support charge entry.
• Communicate with physicians, revenue cycle staff, and management to clarify charge details, resolve discrepancies, and notify of changes in coding or billing guidelines.
• File and maintain charge batches in proper format for reference.
• Provide cross-coverage for front office functions as needed to ensure efficient practice operations.
• Enforce all policies and procedures related to charge entry and compliance.

Knowledge/Skills/Abilities/Expectations

• Basic understanding of medical terminology, CPT, and ICD-10 coding.
• Ability to apply payer guidelines and authorization requirements.
• Strong attention to detail and accuracy in data entry.
• Ability to work independently with minimal supervision.
• Strong organizational and problem-solving skills.
• Effective written and verbal communication skills.
• Ability to maintain confidentiality of patient and financial information.
• Proficient computer and keyboarding skills.
• Frequent sitting, keyboard data entry, and repetitive hand/arm movements.
• Occasional standing, walking, bending, stooping, reaching, or squatting.
• Rare lifting/carrying of non-patient items up to 25 lbs.
• Constant visual acuity, hearing, and speaking required for job functions.
• Administrative/office setting.
• Possible exposure to biohazardous waste, bloodborne pathogens, communicable diseases, or hazardous chemicals is rare but may occur.
• Requires ability to work in a fast-paced environment with time-sensitive deadlines.

Education

• High school diploma or equivalent required.

Licenses/Certifications

• None required
• Coding certification not required.

Experience

• Prior experience in charge entry, billing, or physician practice revenue cycle preferred.
• Knowledge of CPT and ICD-10 coding conventions preferred.
• Experience with practice management or billing software preferred.