The Surgical Supply Charge Reconciliation Specialist is responsible for ensuring accurate and timely documentation and entry of surgical charges in the operating room (OR). This role supports appropriate reimbursement by reviewing case documentation, validating chargeable items, and coordinating with clinical and administrative teams.
Key responsibilities include:
- Review surgical case documentation before, during, and after procedures to identify applicable procedural and supply charges.
- Enter charges into the electronic medical record (EMR) or billing system.
- Validate that all chargeable surgical items are documented and billed correctly according to hospital policy and payer requirements.
- Collaborate with surgical nurses, scrub techs, surgeons, materials management, coding, and billing teams.
- Ensure timely documentation of implants, biologics, and high-cost supplies.
- Participate in audits and resolve discrepancies in OR logs and physician preference cards.
- Maintain compliance with CMS, Joint Commission, and other regulatory guidelines.
- Monitor documentation trends and identify process improvement opportunities.
- Educate OR staff on documentation best practices and supply tracking.
- Assist with updates to charge sheets, preference cards, and EMR templates.
- Generate reports on charge capture metrics, missed charges, and supply utilization for leadership review.
Requirements & Qualifications
Qualifications
- High school diploma or GED required.
- Knowledge of hospital billing practices, coding standards such as CPT and HCPCS, and payer requirements.
- Knowledge of surgical procedures, supply usage, and OR workflows related to accurate charge capture.
- Proficiency with EMR systems such as Epic, Cerner, or Meditech.
- Familiarity with compliance standards and regulatory requirements.
- Strong analytical skills for reviewing and reporting charge capture data, supply utilization trends, and documentation compliance.
- Experience generating reports for leadership, including missed charges, reconciliation, and billing accuracy.
- Strong attention to detail and data integrity.
- Excellent communication and collaboration skills.
- Ability to manage multiple priorities and meet deadlines in a fast-paced clinical environment.
Preferred
- CNOR certification preferred, or willingness to obtain within 24 months.
Benefits & Perks
UT Health San Antonio offers a comprehensive benefits package, including:
- Free UT SELECT medical insurance for eligible employees
- Dental insurance options through Delta Dental
- Vision coverage through Superior Vision
- Disability insurance
- Flexible spending accounts (FSAs)
- Retirement plan options through TRS or ORP
- Front-loaded paid time off based on years of service
- Extended illness bank
- Paid family leave
- 12 paid holidays each year
- Employee discounts on services, tickets, and gym memberships
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago