Implant Charge Capture Specialist

Role:

Implant Charge Capture Specialist

Hyderabad, Telangana Coding

Description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Key Responsibilities

• Review operative/procedural documentation provided by client facilities to ensure all implants and devices are captured for billing
• Audit and reconcile implant charges against preference cards, supply chain logs, and operative notes.
• Evaluate implant invoices and apply appropriate markup to cost based on payer-specific guidelines
• Validate implant charges against payer-specific guidelines, coding rules, and compliance standards
• Partner with client coding, billing, and clinical documentation teams to resolve discrepancies or missing implant details
• Research payer policies and provide guidance on implant billing requirements, including modifiers, device codes, and carve-outs
• Monitor and resolve implant-related claim edits, rejections, and denials in collaboration with billing and AR follow-up teams.
• Track and report trends in missed charges, payer denials, and reimbursement variances for implants
• Serve as subject matter expert for implant charge capture within the vendors revenue cycle service lines

Requirements

• 2 to 4 years of experience in revenue cycle management, charge capture, medical coding, or billing; implant/surgical billing expertise strongly preferred
• Working knowledge of CPT, HCPCS, revenue codes, and payer billing requirements for implants and devices
• Knowledge of managed care contracting and payment models
• Excellent interpersonal skills with the ability to interact effectively with all levels of employees and clients
• Excellent written and verbal communication skills
• Strong organizational skills
• Detail oriented
• Ability to analyze and problem-solve with accuracy and attention to detail
• Ability to prioritize and oversee multiple tasks simultaneously
• Ability to work in a team-oriented environment
• Knowledge of and ability to comply with HIPAA, confidentiality policies (both medical and financial)
• Strong knowledge of Microsoft Office applications, including Excel, Word, and Teams
• Cooperative work attitude toward and with co-employees, management, and outside contacts