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SUMMARY

Under the general direction of the RGH Perioperative Services Leadership Team, assist in implementing strategies to improve services and operating methods related to OR and Procedural charge capture, coding, billing, and compliance. The role of the Billing & Compliance Specialist will be to assist in ensuring accurate and timely billing information for reimbursement and implant documentation purposes. Ability to effectively and efficiently utilize system resources to resolve issues, post cases, and prepare reports is required. Team member must possess critical thinking skills and have the ability to effectively communicate.

DEPARTMENT: Perioperative Services

SCHEDULE: Monday - Friday Days

RESPONSIBILITIES

+ Reviews and posts all OR and GI case cost charges. Review of all implants, stents, OR and recovery log times. Corrects as appropriate.

+ Collaborates with the OR Clinical Leaders, Purchasing, Revenue integrity, and Supply Chain to validate item details, costs, and quantity used

+ Enters bill-only requisitions for specialty consignment items, working with OR clinical staff and vendor representatives to ensure accuracy.

+ Enters all manual OR charges for items not documented in the EMR

+ Manages EPIC work que for OR, PACU, and GI, reviewing charges, checking verifying cost of all high cost/volume products, and approves or corrects as needed.

+ Acts as a Workday resource/content expert for clinical staff and perioperative leaders responsible for creating requisitions and bill only charges.

Minimum Qualifications:

+ Associates Degree preferred

+ Previous billing and third party payor experience preferred

+ Perioperative/procedural office experience with applications and procedures preferred

Required Licensure/Certification Skills: NoneRochester Regional Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$21.25 - $24.25

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer. Minority/Female/Disability/Veterans by a prospective employee and/or employee’s Physician or delegate will be considered for accommodations.