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Perioperative Billing Analyst
3 months ago
SHIFT:
Any (United States of America)
**Seeking Breakthrough Makers**
Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.
**CHOP’s Commitment to Diversity, Equity, and Inclusion**
CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.
**A Brief Overview**
Supports the Perioperative Business/Resource Manager, Perioperative Directors, OR Medical Director, Nurse Managers and their staff by performing clerical and administrative functions to ensure that all patient billing is done in a timely and accurate manner.
**What you will do**
- Accurately, and in a timely manner, enters daily charges for all procedures completed in the OR, GI, SDU, Sedation and at the bedside. This includes all locations of the organization i.e. Philadelphia, King of Prussia, Abington, Bucks, Brandywine Valley, Virtua and Voorhees.
- Reviews all charge sheets and validates them against the case that was performed in the OR. This includes implants, supplies and any services that may have been performed by an outside vendor i.e. IONM, ATS, ESWL. Tissue Tracker is another resource for implant discrepancies..
- Checks EPIC reports and indicates which cases are anesthesia only cases.
- Reviews flowsheet, op report and anesthesia report to accurately account for what was performed so that the proper charges are triggered.
- Enter patient charges on a daily basis into EPIC Optime, EPIC Anesthesia, EPIC Cadence. Once patient logs have been posted for the day then all the necessary work queues will need to be reviewed and triggered.
- On a daily basis, retrieves all necessary reports from EPIC to accurately post charges. Checks daily reports against prior days entries to ensure that all entries have been made and have been posted in both EPIC and Provations.
- Continues to reach out to staff to correct any open logs. Maintains an organized filing system so that charge sheets may be accessed if necessary, for the prior 3-month period.
- Identify problems and resolves them independently.
- Makes necessary corrections, if possible, or locates appropriate staff to correct the problem (i.e. OR, GI, SDU, Sedation, Anesthesia, PACU, Revenue Integrity, IS, Finance, Admissions.
- Works with Revenue Integrity and Supply Chain to ensure that contracted prices are consistent with any price changes that are incurred by the hospital.
- Maintains price listings of OR products and indicates any change in price accuracy.
- Works closely with Supply Chain to ensure that the most up-to-date pricing is used in patient billing.
- Is a liaison between the OR and Revenue Integrity to ensure that all billing is accurate, complete and submitted within 24-48 hours.
- Works with Perioperative Management Team to identify cost recovery and cost reduction strategies.
- Analyzes Billing Reports for all supporting areas.
- Makes recommendations for improving systems.
- Develops tracking mechanisms to prevent loss of revenue due to missing or incorrect entry of patients.
- Serves as a Billing resource.
- Works with Business/Resource Manager to effectively eliminate any billing or potential billing problems that arise.
- Responsible for ongoing training of new staff.
- Enters requisitions for any implants, supplies or capital equipment.
- Takes receipt and coordinates the delivery of any specific order requests for upcoming cases.
- Acts as backup person for department personnel.
- Helps cover front office when there is not enough staff coverage.
**Education Qualifications**
- High School Diploma / GED Required
**Experience Qualifications**
- Work experience with charge capture **Preferred**:
- Knowledge of EPIC platforms (Op Time, Radiant) **Preferred**
**Skills and Abilities**
- Must possess the following qualities: excellent communication skills, interpersonal and organizational skills, attentiveness to detail, problem-solving abilities, customer service oriented and ability to handle confidential information.
**To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influe
