Job Description

Scheduled Hours:

Full Time, Day Shift No weekends or holidays

Education/Experience Required:

High School Diploma 5 years' experience in operating room/procedural area or billing experience with procedural product knowledge or substitute relevant experience.

Knowledge, Skills & Abilities Required:

Self-directed, minimal supervision required. Good communication skills. Working knowledge of EMR charge capture. Computer skills. Data entry skills. Knowledge of Microsoft Windows.

Major Responsibilities:

Responsible to the Department, Director, Department Heads and Business Manager in ensuring all appropriate patient charges are accurately processed using a working knowledge of the EMR System

o Ensures that patient billing for all procedures are accurate and processed within three business days.


o Monitors and enters all implant billing to assure accurate patient charges.


o Assist in developing and maintaining all supply charges in coordination with Materials Manager, Business Manager, and the EMR Information Systems.


o Patient chart auditing for correct documentation and charge entry.
Knowledge and Maintenance of EMR including compliance from a regulatory billing perspective.

o Obtain and maintain an excellent working knowledge of the EMR


o Obtain and maintain knowledge of the systems reporting capabilities for running reports as required and/or requested including the ability to run non-standard reports.
Provide proactive audits of the EMR.

o Completes audits focusing on charge capture and compliance as well as revenue opportunities.


o Coordinates collaboration with Clinical Managers and Leadership to assure staff compliance with identified patient charting discrepancies.


o Reviews free text items with Clinical Manager and Leadership to increase nursing charting compliance and accurate billing on an ongoing basis.
Collaborates with Patient Accounts to maintain working knowledge of CPT, APC's and pass-through codes

o Knowledge is maintained and kept current to any and all changes and/or updates


o Assure compliance with all Medicare policies, procedures and regulations
Other duties as assigned

Physical Requirements and Working Conditions:

Excellent interpersonal skills Ability to communicate with surgeons, office personnel, nursing personnel Analytical and problem-solving skills Ability to handle multiple tasks and complete work within short timeframes Self-motivated - requires minimal supervision Ability to transcribe medical information



This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.