Charge Capture Rules Architect

Job Summary

A company is looking for a Charge Capture Rules Architect.

Key Responsibilities

• Oversee technical systems supporting the Charge Capture service line, ensuring maintenance and quality control
• Evaluate and manage Rules Engine performance, including monitoring tools like PowerBI and Salesforce
• Maintain and customize the Rule Library to meet client-specific needs and assist with client implementations

Required Qualifications

• Experience with hospital/physician coding
• Medical Coding Certification - CCS, CPC, or CPC-H preferred
• Strong computer skills, particularly in Microsoft Excel and T-SQL
• Understanding of hospital contracts and reimbursement methodology
• Experience or interest in LLM, AI, and/or Machine Learning is a plus