The Perioperative Charge Capture Analyst is responsible for accurately reviewing, auditing, reconciling, and processing Operating Room (OR) and implant-related charges to ensure complete and compliant revenue capture. This role primarily focusses on reconciling implants documented in patient records with vendor invoices, authorizing payment upon reconciliation, supporting charge audits and charge-related inquiries. The analyst coordinates surgical billing by verifying the accuracy of supply, implant, and personnel charges; identifying and correcting discrepancies; and electronically transmitting daily surgery charges across HIS, PMS, and FMS systems. This position works closely with clinical, materials management, and financial teams to ensure compliance with coding regulations, optimize revenue cycle performance, and accurately enter highly technical surgical terminology. A CPC credential is preferred but not required. Professional fee or technical billing experience is preferred (relevant experience may substitute for education), including experience in charge review, medical coding, CPT/HCPCS coding, and Epic EMR systems.
EDUCATION/ EXPERIENCE REQUIRED
Bachelor’s degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field.
2 years of related experience.
JOB SUMMARY
Develops and tracks meaningful charging metrics and key performance indicators for Health System departments to ensure accurate and optimal revenue capture.
Interprets metrics and reporting; manages issues;
Utilizes appropriate tools to support hospital charge capture, revenue reconciliation, and root cause analysis of department charge variance trends.
Partners with Revenue Integrity and Health System department counterparts to organize initiatives surrounding charge capture opportunities and continual process improvement on an ongoing basis.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
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