Job Summary
We are seeking a detail-oriented and accuracy-focused Charge Entry User to join our US Healthcare Revenue Cycle Management team. The Charge Entry User will be responsible for accurately entering and validating patient charges based on clinical and billing documentation, ensuring that services are captured correctly and submitted in accordance with payer, client, and billing requirements. The ideal candidate should possess strong analytical skills, attention to detail, knowledge of US healthcare billing processes, and the ability to identify and resolve charge-related discrepancies.
This is a strictly Work from Office (WFO) position. Candidates must be willing to work from the company office and comply with assigned shift schedules. Remote, hybrid, or work-from-home arrangements are not available for this role.
Location: Kochi
Experience Required: 1–2+ Years in US Healthcare RCM / Charge Entry / Medical Billing
Employment Type: Full-Time | Work from Office (WFO) Only
Key Responsibilities
Charge Entry & Validation
· Accurately enter patient charges into the designated practice management or billing system based on clinical documentation, charge tickets, superbills, encounter information, and client-provided source documents.
· Review and validate CPT, HCPCS, ICD-10-CM, modifiers, units, dates of service, places of service, and other charge-related information for accuracy.
· Ensure all billable services documented for an encounter are captured accurately and completely.
· Identify missing, duplicate, incorrect, or inconsistent charges and take appropriate corrective action.
· Apply client-specific charge entry guidelines and billing rules consistently.
Coding & Billing Review
· Review charge information for consistency with the supporting clinical or encounter documentation available for billing.
· Apply basic knowledge of CPT, HCPCS, ICD-10-CM, and medical billing concepts while processing charges.
· Validate modifiers, units, and other billing elements based on established client and payer requirements.
· Identify potential coding or billing discrepancies and escalate issues requiring coder, client, or management review.
Claim & Revenue Cycle Support
· Ensure charges are entered accurately and within the required turnaround time to support timely claim submission.
· Review charge-related system edits and resolve issues within the scope of the role before claims are released.
· Identify recurring charge-related errors that may contribute to claim rejections, denials, or payment issues.
· Coordinate with coding, billing, quality, AR, and other RCM teams when clarification or correction is required.
Quality, Productivity & Documentation
· Maintain high accuracy and quality standards while meeting established daily productivity targets.
· Perform assigned quality checks and correct errors identified during the charge entry process.
· Document relevant actions, clarifications, and exceptions accurately in the billing system or designated workflow.
· Follow client-specific workflows, standard operating procedures, and management instructions.
Compliance
· Maintain HIPAA compliance and protect patient confidentiality.
· Adhere to applicable healthcare billing requirements, client policies, and company procedures.
· Ensure accurate handling of patient and billing information at all times.
Required Qualifications
· Bachelor’s Degree or equivalent qualification is required.
· Minimum 1–2 years of experience in US Healthcare Revenue Cycle Management (RCM), preferably in Charge Entry, Medical Billing, or a related process.
· Basic understanding of the US healthcare medical billing and claims lifecycle.
· Working knowledge of CPT, HCPCS, ICD-10-CM, and common billing concepts.
· Ability to interpret charge-related documentation and identify missing or inconsistent billing information.
· Proficiency in healthcare billing software and Microsoft Office applications.
Required Skills
· Strong attention to detail and commitment to billing accuracy.
· Good analytical and problem-solving skills.
· Ability to identify discrepancies and follow established correction procedures.
· Good written and verbal communication skills.
· Ability to work with large volumes of transactions while maintaining accuracy.
· Ability to prioritize workload and meet defined turnaround times and productivity targets.
· Ability to work independently and as part of a team.
Preferred Qualifications
· Experience with PracticeSuite or other healthcare practice management/billing platforms.
· Experience in physician billing, specialty billing, or multi-specialty healthcare RCM.
· Knowledge of medical coding concepts and common CPT modifiers.
· Experience handling charge corrections, claim edits, or billing-related work queues.
· Exposure to payer-specific or client-specific billing requirements.
Key Performance Indicators (KPIs)
· Charge entry accuracy and quality score.
· Daily charge entry productivity.
· Timeliness/turnaround time for assigned charges.
· Error and rework rate.
· Charge-related rejection and edit rate.
· Accuracy of documentation and corrections.
· Attendance and adherence to work schedules.
Working Conditions
· US Healthcare Revenue Cycle Management process.
· Day/Mid Shift based on business requirements.
· Fast-paced production environment with defined productivity and quality targets.
Work Location: In person
