Perioperative Charge Reconciliation Specialist

4 weeks ago

Rochester, New York, United States Henry Ford Health System Full time

Job Summary:

The Perioperative Charge Reconciliation Specialist is responsible for supporting the Mission and Vision of Henry Ford Health System by assisting in planning, organizing, implementing and evaluating revenue charge capture and unit of service activities in the Perioperative Services department.

Key Responsibilities:

  • Track and document the location of all manual charge sheets assigned for use in the Perioperative Services area.
  • Read patient finalized OR chart segments, including preop, procedural and PACU documentation from nursing staff, to research all charge issues.
  • Check for completeness according to specified guidelines and ensures inclusion of vital demographic data necessary for proper charging.
  • Electronically process all daily Perioperative department charges multiple times per day utilizing the McKesson STAR and SurgiNet systems accounting for all Perioperative registrations.
  • Complete patient EMR record review comparison with auto charged items to ensure proper billing and/or missing charge data.
  • Log each incomplete chart, including deficiency, discovery date and assigned staff member to correct issues.
  • Monitor for discrepancies in patient charging function of the Perioperative Services Department and communicates with involved departments when problems arise.
  • Facilitate the complete resolution of charge outliers.
  • Coordinate with vendors' representatives to assist the Charge Description Master Coordinator, Nursing and Distribution in new item set up or item charge issues.
  • Review charge stickers and pref card sheets to ensure items noted by RN as being used are properly charted and applied against a patient's bill and resolve any items in dispute.
  • Review and resolve any Cerner suspended charges including Free Text items noted during nursing documentation to ensure proper charges are applied.

Requirements:

  • High school graduate required.
  • Two (2) years college course work in business disciplines and/or medical related disciplines or two (2) years or more working experience in hospital surgical ordering, billing or charge capture activity within the last 3 years required.
  • Knowledge of coding including CPT, ICD-9, and HCPCS codes plus the function each of these play on patient/insurance charges is required.
  • Working understanding of the Revenue Cycle functions from service rendering to payment received is required.

Benefits:

The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual.

Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan.

Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more.

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