The Surgical Services Inventory/Chargemaster Specialist is responsible for accurate and timely corrections and updates to the CDM and effectively communicates with the Surgical Services Materials Management Specialist, Finance, and Purchasing Departments to ensure all electronic systems are accurate and consistently reflect the appropriate charges. In addition, assists the Materials Management Specialist with special projects related to materials management as needed.

Responsibilities:

• Inventory Data Management:
  • Updates and monitors inventory pricing
  • Completes and processes e-mail requests regarding new products to the purchasing and finance department
  • Contacts companies and their representatives for reimbursement updates as needed
  • Communicates to finance and purchasing for changes to the CDM
  • Demonstrates the ability to research CPT/HCPCS codes assigned to devices and implants
• Implant Data Management and Billing:
  • Researches any discrepancies with invoices, pricing and purchase orders
  • Anticipates capturing missing billing implant information
  • Ensures complete accurate and timely billing processes on a daily basis
  • Ensures all billable supplies are captured and entered
  • Reviews and submits all charges in Cerner Powerchart
  • Enters billing codes and verifies that charges correspond
  • Reviews billing exception report daily to determine possible delays in billing
  • Identifies opportunities to improve process flows
  • Bring ideas to management and helps implement and support new processes
  • Maintains a minimum billing accuracy of 98%
• Purchase Orders/Inventory:
  • Assists Materials Management Specialist in updating pricing in CDM
  • Knowledge of insurance requirements for submission of documentation for billing
  • Knowledge and ability to troubleshoot discrepancies with pricing and coding
• Leadership:
  • Act as a liaison between Surgical Services, Billing, Finance and Purchasing staff
• Other Duties:
  • Interacts with company representatives to obtain clarification on documentation that is critical to correct coding and sequencing
  • Courteously and professionally responds to calls and e-mails
  • Releases only appropriate information
  • Refers any unusual inquiries or repetitive problems to supervisor for follow-up and reporting
  • Communicates with staff the materials management process including charges, PO supplies, inventory, and implant records
  • Performs other duties as assigned

Experience:

• 1-2 years of related experience in health care purchasing, operating room inventory control, and/or materials handling

Education:

• Associates Degree, required

Licenses/Certifications:

• Current Procedural Terminology (CPT), preferred
• Diagnostic Coding (ICD-9), preferred

Other:

• If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices and learn the policies concerning Infection Control
• Strong knowledge of computer systems including Cerner
• Ability to effectively work as a team player
• Ability to communicate with others at all levels of the organization