Surgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Position Overview

The role is responsible for pre-bill revenue protection for surgical and procedural encounters, focusing on implant, device, and high-cost supply/drug-supported cases. Duties include detailed reconciliation of clinical and financial records, reviewing physician operative/procedural reports, and supporting trailer billing workflows.

Minimum Requirements

• Education: High school diploma or equivalent required. Associate degree in healthcare, nursing, health information, business, or related field preferred.
• Experience: Three years' hospital revenue cycle, charge capture, surgical billing support, OR/Cath/IR account review, or related experience required. Experience reconciling operative documentation, implant/device records, and pre-bill accounts required. Experience with surgical/procedural case workflows (OR, Cath Lab, IR, Endo, etc.) strongly preferred.
• Knowledge and Skills: Strong understanding of hospital charge capture and pre-bill controls for surgical/procedural services. Working knowledge of CPT/HCPCS, modifiers, revenue codes, and unit-based charging concepts. Ability to interpret physician operative/procedural reports and correlate to billable services and implant/device usage. Strong analytical, organizational, and follow-up skills in high-volume, time-sensitive workflows. Effective communication skills with clinical and non-clinical teams.

Special Training

• Proficiency with EHR/revenue cycle systems, account work queues, and case tracking tools.
• Proficiency in Excel and standard reporting tools.

Mental, Behavioral And Emotional Abilities

• Usual Work Day: 8 Hours
• Reporting Relationships: Does this position formally supervise employees? No

Physical Demands and Work Environment

• Frequent physical demands include: Sitting, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Talk or Hear
• Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl
• Continuous Physical Demands Include: Lifting Floor to Waist 15 lbs., Lifting Waist Level and Above 10 lbs.

Anticipated Occupational Exposure Risks

• N/A

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retail Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse Voluntary Life
• Employee Voluntary Life
• Child Voluntary Life
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program