Procedural Charge Specialist - Surgery

Orlando Health•Orlando, FL

1d•Onsite

About The Position

Responsible for reviewing patient accounts to ensure all charges are accurate, complete, and compliant with billing requirements. Supports procedural areas including Endoscopy, Operating Room (OR), and Cath Lab by verifying that appropriate procedure levels, supplies, and services are accurately documented and billed. Monitors and tracks high-cost supplies to ensure timely and accurate charge capture, helping to optimize revenue integrity and reduce missed charges. Demonstrates strong attention to detail and the ability to analyze clinical documentation to support accurate reimbursement.

Requirements

High school diploma or equivalent.
Successful completion of charge entry course in Orlando Health’s Account Management System within thirty (30) days in position.
Medical Terminology as demonstrated by completion of Orlando Health medical terminology course or through formal clinical training program within 6 months in position.
Two (2) years’ experience in a hospital, health care or physician office setting
Experience reviewing patient accounts to ensure all charges are accurate; procedural experience is a plus
Proficient in applicable clinical division software (i.e.: Affinity GE) and applicable office software (i.e.: Microsoft Word, Excel).

Nice To Haves

procedural experience is a plus

Responsibilities

Maintains current knowledge of Medical Terminology, the computer software systems used at Orlando Health and other Patient Charge Processes.
Responsible for reviewing patient accounts to ensure all charges are accurate, complete, and compliant with billing requirements. Supports procedural areas including Endoscopy, Operating Room (OR), and Cath Lab by verifying that appropriate procedure levels, supplies, and services are accurately documented and billed.
Monitors and tracks high-cost supplies to ensure timely and accurate charge capture, helping to optimize revenue integrity and reduce missed charges.
Will be cross-trained to perform the duties of data entry and charge management.
Serves as a resource to other staff members to provide guidance and direction for data entry and patient charging.
Ensures prompt and accurate execution of duties and distribution of reports.
Verifies all output is complete and ensures daily charge reconciliation.
Assists support staff, coding, patient financial services, and clinical team in appropriate documentation methodology to support charging and determine medical necessity.
Assists to resolve non-compliant operational or billing issues.
Interacts with manager and staff in the timely solution and verification of procedure and patient charge information.
Performs routine Orlando Health Account Management training. Accurately and efficiently accesses hospital billing and information systems to secure and assemble all necessary physician records in order to accurately bill professional physician and/or physician extender services.
Verifies billable physician services by reviewing physician documentation.
Assembles and inputs coding results into the current Practice Management billing system in order to expedite proper billing.
Batches and balances daily charges checking provider, place of service, date of service, referring physician, diagnoses and procedures.
Demonstrates self-motivation and self-direction.
Maintains all daily work processes and status reports