Surgical Supply Reconciliation Specialist

UT Health San Antonio•San Antonio, TX

About The Position

The Surgical Supply Charge Reconciliation Specialist ensures accurate and timely documentation and entry of surgical charges in the operating room. The role requires an in-depth understanding of surgical procedures, supply utilization, documentation standards, and hospital billing practices. The specialist acts as a liaison among clinical staff, materials management, coding, and billing departments to maintain the integrity of surgical records and support appropriate reimbursement. The position supports and maintains UT Health San Antonio policies, protocols, and values.

Requirements

Knowledge of hospital billing practices, coding standards such as CPT and HCPCS, and payer requirements.
Knowledge of surgical procedures, supply usage, and operating room workflows as they relate to accurate charge capture and documentation.
Proficiency with EMR systems such as Epic, Cerner, or Meditech.
Familiarity with compliance standards and regulatory requirements.
Strong analytical skills, including the ability to collect, interpret, and report charge capture data, supply utilization trends, and documentation compliance.
Experience generating regular leadership reports on missed charges, charge reconciliation, and billing accuracy.
Strong attention to detail and data integrity.
Excellent communication and collaboration skills.
Organized and self-directed, with the ability to manage multiple priorities and meet deadlines in a fast-paced clinical environment.
High school diploma or GED.

Nice To Haves

CNOR certification preferred, or willingness to obtain it within 24 months.

Responsibilities

Review pre-operative, intra-operative, and post-operative surgical case documentation and enter applicable procedural and supply charges into the hospital's EMR or billing system.
Validate that chargeable items used during surgery are documented and billed correctly in accordance with hospital policy and payer requirements.
Collaborate with surgical nurses, scrub technicians, and surgeons to clarify documentation and supply usage.
Ensure timely documentation of implants, biologics, and high-cost supplies.
Participate in audits and address discrepancies in operating room logs or physician preference cards.
Maintain compliance with CMS, Joint Commission, and other regulatory agency guidelines related to charge capture and billing.
Monitor trends and identify opportunities to improve documentation and charge reconciliation processes.
Educate operating room staff on documentation best practices and supply tracking processes.
Assist with updating charge sheets, preference cards, and EMR templates in collaboration with materials management and IT.
Generate regular reports for leadership on charge capture metrics, missed charges, and supply utilization.