Implant Charge Capture Specialist

Avontix

2 - 4 years

3 - 6 Lacs

hyderabad

Posted:13 hours ago| Platform:

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Skills Required

supply chain administration surgical medical coding billing reconciliation hipaa healthcare anesthesia auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

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 vendor s revenue cycle service lines

Requirements

2-4 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

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