OR Biller - Chart Auditor

Responsibilities

• Audits and reviews operative cases and intraoperative documentation daily to ensure accurate and complete charge capture for procedures, supplies, implants, devices, and time-based services across all surgical service lines alongside preference cards, implant logs, anesthesia records, and case times to validate alignment with posted charges.
• Identifies and resolves missing, duplicate, or incorrect charges, working directly with OR caregivers and ancillary departments to correct variances while ensuring surgical cases are finalized and ready for billing in a timely manner.
• Performs charge integrity reviews to confirm that clinical activity translates accurately into billable charges prior to coding and claim submission while monitoring trends in charge variances, revenue per case, and recurring documentation gaps; escalates opportunities for improvement to Perioperative leadership.
• Serves as a billing and charge capture resource for OR caregivers across all system facilities; providing education to clinical staff on documentation elements that directly impact charge capture and reimbursement; Supports standardization efforts related to preference cards, implant documentation, and supply usage workflows.
• Works with sales representatives and vendors to validate implant, supply and special device pricing, invoicing accuracy, and charge master alignment; Obtains pricing for new or unique implants, reorders for critical availability and ensures appropriate payment processes are followed.
• Acts as a liaison between Perioperative Services, Revenue Cycle, Coding, Billing, Supply Chain, Finance and Purchasing to facilitate accurate and compliant billing.
• Maintains awareness of trends related to surgical supply usage, charge discrepancies, and revenue opportunities to OR leadership; Participates in audits, regulatory reviews, and internal compliance initiatives as needed.

Qualifications

• H.S. Diploma - High school diploma or general education degree (GED) - Required
• 2 Years - Clinical experience in the intraoperative setting - Required
• 5 Years - Clinical Experience in intraoperative setting - Preferred
• 2 Years - Experience with OR billing, charge capture, auditing, & revenue integrity - Preferred
• Certified Surgical Technologist (CST) - Required Upon Hire
• Licensed Practical Nurse (LPN) - State Licensure - Required Upon Hire
• Registered Nurse (RN) - State Licensure/Or Compact State Licensure - Required Upon Hire
• Must be able to travel between various system facilities and off-site locations as needed. - Required

Skills and Abilities

• Communicates clearly and concisely.
• Ability to work independently and multi-task as needed.
• Interpersonal Skills: Excellent oral and written communication skills. Strong collaboration skills across clinical and non-clinical teams. Maintains good rapport and professional relationships with caregivers and ancillary departments.
• Essential Technical/Motor Skills: Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier. Multi-skilled responsibilities require sitting, walking and standing.
• Essential Mental Abilities: Comprehend/understand medical terminology, surgical procedures, instrumentation, anatomy, physiology, sequence of events. Assess procedural and intraoperative charting and questions discrepancies of chart in relationship to the procedure. Ability to analyze and reconcile clinical documentation with billing and charge data. Knowledge of Epic OR/OpTime workflows and charge capture processes. Ability to work independently and manage multiple priorities. Problem-solve, manipulate numbers, adaptability, interpret data, calculate and comprehend. Excellent short term and long-term memory. Ability to follow system policies and procedures. Excellent organizational, analytical, and problem-solving skills. Ability to communicate (hear and speak clearly) over the telephone, one-on-one, or in-group settings. Speech is clear and concise. Ability to see and read for the purpose of a computer screen and various literature on a continual basis. Ability to work independently and a demonstrated self-starter. Knowledge and experience with a variety of information systems.
• Essential Sensory Requirements: Ability to see and hear. Visually assess paper and electronic data, hear telephone and converse. Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles. Exposure to Hazards: Minimal.

About Us

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.