I. SUMMARY OF POSITION PURPOSE

Enters and audits patient billing charges for the Perioperative Services division for all Anderson and Cannon locations.  Maintains the integrity of the charging process by reviewing the charges and monitoring charging processes.

II. SPECIFIC DUTIES AND RESPONSIBILITIES

  Perform billing comparison of charges to Nursing Documentation for OR, Endo, PACU, and OPS procedures. Assures that procedure and supply charges are accurate. Identifies areas where education concerning billing guidelines would improve front-end charge process. Maintains the OR department charge master for new supplies/procedures. Maintains communication with Periop Director on the need for CDM creation. Research billing codes and provide feedback to management. Processes patient charges and credits using perioperative electronic systems. Assures that procedure and supply charges are correct and are posted in a timely manner. Assists staff when credits need to be issued to patient accounts. Determines when new supplies are brought in and need appropriate CDM. Utilizes OR information Systems to provide daily financial and other reports as needed. Identifies missing charges from across all departments of Perioperative Services and works to correct the situation. Prepares and provides bi-weekly and monthly Executive Summary to Management Staff by Site/Services for Anderson and Cannon Peri-op Services. Primary liaison and central contact person between Surgical Services and Business Services responsible for researching billing and/or coding questions. Corrects and documents patient charge changes. Provide documentation to coders as needed to justify decision. Willingly participates in projects and Quality Assessment and Process improvement activities. Monitors work conditions. Helps in providing orientation for new employees. Displays a positive attitude and good rapport when interacting with others. Maintains good working relationships with co-workers.  Functions as part of the team. Demonstrates an attitude of respect for others by treating all contacts in a professional manner. Recognizes the multiple departments in service line and incorporates customer satisfaction into daily activities. Able to prioritize tasks during light and peak workload situations. Completes work within acceptable time limits and uses spare time in work-related activities, contributing to the department’s needs. Organizes time and work to meet the workload demands of the area. Seeks ways to help others. Other duties as assigned.

III. EDUCATION/QUALIFICATIONS

High school diploma or GED required.  Preferred: Associate or Bachelor’s degree in health information technology or health information Administration, Registered Nurse OR certification in medical coding and/or billing or Minimum of two years in a similar position. Experience in a perioperative setting highly desired. Excellent verbal and written communication skills; Interpersonal skills and ability to interact effectively with others; Organizational skills to maintain a wide array of accurate documents and records; Computer skills including Word, Excel and PowerPoint.