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The specialist is responsible for auditing, validating, and reconciling intraoperative documentation to ensure accurate charge capture and billing across surgical service lines. They also provide guidance to OR caregivers and collaborate with various departments to prevent revenue leakage and ensure compliance.
The Specialist OR Biller / Chart Auditor works under the supervision of the Perioperative Services Director or designee and serves as a subject matter expert for Operating Room Charge capture, billing accuracy, and revenue integrity. This role is responsible for the audit, validation, and reconciliation of intraoperative documentation, supplies, implants, devices and time-based services to ensure all billable components of surgical cases across surgical service lines are accurately captured, posted, and billed across the system. and special ordering regarding supplies, implants, and devices in the operative setting. This position plays a critical role in preventing revenue leakage, supporting compliance, and ensuring alignment between clinical documentation, EMR charge workflows, and downstream billing processes across all perioperative service lines. The Specialist provides guidance and education to OR caregivers and collaborates closely with Revenue Cycle, Supply Chain, Clinical Informatics, Coding, Billing, Purchasing and Finance, as well as Perioperative caregivers across the system in St. Joseph, Maryville, Albany, GI Lab, Cath Lab, Interventional Radiology/Special Procedures.
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