Operating Room Charge Review Specialist PRN
Company: Frye Regional Medical Center
Location: Hickory
Posted on: November 6, 2024
Job Description:
Job DescriptionJob SummaryThe Operating Room Charge Review
Specialist is responsible for ensuring accuracy and completeness in
the billing process related to operating room procedures and
charges. They meticulously review charges, documentation, supplies
and implants used, and coding to ensure compliance with regulatory
standards and maximize revenue capture for the healthcare facility.
COMPANY DESCRIPTIONFrye Regional Medical Center, located in the
beautiful foothills of North Carolina is a 355-bed acute care
hospital, 81-bed Behavioral Health facility and more than 70
primary and specialty care providers.Essential Functions
- Reviewing Charges:
- Review operating room charges to ensure accuracy and
completeness.
- Verify that charges align with documentation of supplies and
implants used and coding guidelines.
- Identify any discrepancies or inconsistencies and take
appropriate action for resolution.
- Documentation Analysis:
- Analyze medical records and operative reports to validate the
necessity and appropriateness of charges.
- Ensure that documentation supports the billed procedures and
services.
- Collaborate with healthcare providers to clarify documentation
as needed.
- Compliance Assurance:
- Ensure compliance with regulatory requirements, coding
guidelines, and payer policies.
- Stay updated on changes in coding and billing regulations
related to operating room procedures.
- Identify potential compliance risks and recommend corrective
actions to mitigate them.
- Revenue Optimization:
- Identify opportunities to optimize revenue capture through
accurate charge capture and documentation.
- Collaborate with revenue cycle management teams to implement
best practices for maximizing reimbursement.
- Provide feedback and recommendations for process improvements
to enhance revenue integrity.
- Quality Assurance:
- Conduct regular audits and quality reviews of operating room
charges.
- Develop and maintain quality assurance processes to monitor the
accuracy of billing practices.
- Implement corrective measures and provide training to staff as
needed to address identified issues. Benefits - Wide range of
benefits options!
- Here at Frye, you choose your own Medical, Dental, and Vision
plans from a variety of competitive options that give you the
coverage that best fits your needs.
- HSA
- 401(K) retirement plan contributions
- Generous Paid Time Off
- Accident & Critical Illness Insurance
- Prescription Assistance with OptumRx
- Income protection programs for the entire family such as life
insurance, Short/Long-term Disability, and Identity Theft.
- Employee Assistance program at no cost to you to provide
emotional, legal, financial, and daily life support for your entire
household. Services are available 24 hrs. a day, 7 days a
week.
- Free travel and entertainment discount program to ensure you
enjoy your time away from work. Minimum Education
- Associates Degree Required.
- Bachelor's degree in Health Information Management, Healthcare
Administration, or related field preferred
- Certified Professional Coder (CPC) or Certified Coding
Specialist (CCS) certification preferred.Minimum Work Experience
- Experience in healthcare billing, coding, or revenue cycle
management, with specific knowledge of operating room
procedures.
- Proficiency in medical terminology, coding systems (e.g.,
ICD-10, CPT), and billing software.
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively in a
fast-paced environment.Equal opportunity and affirmative action
employers and are looking for diversity in candidates for
employment: Minority/Female/Disabled/Protected Veteran
Keywords: Frye Regional Medical Center, Greenville , Operating Room Charge Review Specialist PRN, Other , Hickory, South Carolina
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