Perioperative Billing Analyst - Rapid Progression

Job title: Perioperative Billing Analyst
Duration: 2.5+ months contract

Location: Philadelphia, PA

Duties: EPIC billing experience is required.  Experience with Epic OpTime, OR Billing, and GI billing is highly preferred.

Job Summary:
Supports the Perioperative Business/Resource Manager, Perioperative Directors, Nurse Managers, and their staff by performing clerical and administrative functions to ensure that all patient billing is completed in a timely and accurate manner.
Job Responsibilities:
1. Accurately, and promptly, enter daily charges for all procedures completed in the OR, GI, SDU, Sedation, and at the bedside. This includes all locations of the organization i.e. Philadelphia, King of Prussia, Abington, Bucks, Brandywine Valley, Virtua, and Voorhees.
Review all charge sheets and validate them against the case that was performed in the OR. This includes implants, supplies, and any services that may have been performed by an outside vendor i.e. IONM, ATS, ESWL. Tissue Tracker is another resource for implant discrepancies. Check EPIC reports and indicate which cases are anesthesia-only. Reviews flowsheet, op report, and anesthesia report to accurately account for what was performed so that the proper charges are triggered. Enter patient charges daily into EPIC Optime, EPIC Anesthesia, and EPIC Cadence. Once patient logs have been posted for the day then all the necessary work queues will need to be reviewed and triggered.
2. Daily, retrieves all necessary reports from EPIC to accurately post charges. Check daily reports against prior days' entries to ensure that all entries have been made and have been posted in both EPIC and Provisions. Maintains an organized filing system so that charge sheets may be accessed if necessary, for the prior three (3) months period.
3. Identify problems and resolve them independently. If a discrepancy occurs, phone calls or emails are sent to the appropriate staff to determine the reason for the problem. Makes necessary corrections, if possible, or locates the appropriate department to correct the problem i.e., OR, GI, SDU, Sedation, Anesthesia, PACU, Revenue Integrity, IS, Finance, Admissions.
4. Works with Revenue Integrity and Supply Chain to ensure that inventory prices are consistent with any price changes incurred by the Hospital. Maintains price listings of OR equipment and indicates any price change accurately. Works closely with Supply Chain to ensure that the most up-to-date pricing is used in patient billing. Is a liaison between the OR and Revenue Integrity to ensure that all billing is accurate, complete and submitted promptly.
5. Works with the Perioperative Management Team to identify cost recovery and cost reduction strategies. Analyzes Billing Reports for all supporting areas. Makes recommendations for improving systems. Develops tracking mechanisms to prevent loss of revenue due to missing or incorrect entry of patients.
6. Serves as a Billing resource. Works with the Business/Resource Manager to effectively eliminate any billing or potential billing problems that arise. Responsible for ongoing training of new staff. Enters requisitions for any implants, supplies, or capital.Takes receipt and coordinates the delivery of any specific order requests for upcoming cases.      
7. Acts as a backup person for department personnel. Helps cover the front office when there is not enough staff coverage.

Required Licenses, Certifications, Registrations: None
Required Education and Experience: Required Education:  High school diploma or equivalent.
Required Experience: Work experience with charge capture is preferred. Knowledge of EPIC Systems is preferred.
Preferred Education, Experience, Licenses, and/or Certifications: Preferred Education: None
Preferred Experience: work experience with charge capture is preferred. Knowledge of EPIC platforms such as Optime and Anesthesia