• Auditors will ensure all cases are attached to an active, billable account number; Know and follow Cerner process to resolve non-compliant accounts.
• Audit implant data and charges using clinical and vendor documentation when present; Apply case knowledge to ensure implants are captured for tracking.
• Insure case charges pass from Cerner to McKesson Star billing system, applying established process for issue resolution.
• Perform manual bill entry, correcting or editing charges as directed or reported.
• Displays knowledge and complies with the National Patient Safety Goals.
• Implements an age appropriate plan of care in conjunction with the health care team per Scope of Service.
• Attends all required educational programs and completes all Learn Modules within due date.

·       Ensures 100% of surgical cases and manual charges are accounted for and that patient information is correct for billing including clinical documentation that impacts charges.  Accurately applies charge policies to meet regulatory guidelines and minimize risk to the organization.

·       Responsible for accurate charge capture, reporting new items for adding to the database, items needing charge codes, and maintaining the implant log.  Has minimal errors or omissions resulting in low revenue impact.

·       Manages workflow in an efficient manor to meet productivity target.

·       Recognizes any medical and/or surgical inconsistencies in the intra-operative records, or logs.

·       Performs all daily Charge Reconciliation tasks to ensure timeliness and accuracy of charge capture.

·       Tracks and follows up on charge issues in a timely manner, notifying appropriate Manager or staff as needed.

·       Tracks all bill holds and releases them as soon as possible to optimize organizational cash flow. Maintains completed documents in an orderly fashion for retrieval and auditing purposes.

Education / Accreditation / Licensure (required & preferred):

·       High school graduate or GED, prefer past scrub tech or OR RN.

Experience (required and preferred):

·       1 year experience in a health care related field and 6 months previous surgery experience or  successful completion of surgical training program and competency exam; successful completion of a medical terminology class.