Operating Room Charge Review Specialist PRN
Company: Frye Regional Medical Center
Location: Statesville
Posted on: April 24, 2024
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Job Description:
Job 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 FunctionsReviewing
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.HSA401(K) retirement plan
contributionsGenerous Paid Time OffAccident & Critical Illness
InsurancePrescription Assistance with OptumRxIncome 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 preferredCertified Professional Coder (CPC) or
Certified Coding Specialist (CCS) certification preferred.Minimum
Work ExperienceExperience 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, Huntersville , Operating Room Charge Review Specialist PRN, Other , Statesville, North Carolina
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