Surgical Supply Reconciliation Specialist

The Surgical Supply Charge Reconciliation Specialist plays a critical role in ensuring accurate and timely documentation and entry of surgical charges in the operating room (OR). Has an in-depth understanding of surgical procedures, supply utilization, documentation standards, and hospital billing practices. The specialist serves as a liaison between clinical staff, materials management, coding, and billing departments to ensure integrity in surgical records and maximize appropriate reimbursement. Supports and maintains UT Health San Antonio policies, protocols, and values. Knowledge of hospital billing practices, coding standards (e.g., CPT, HCPCS), and payer requirements Knowledge of surgical procedures, supply usage, and operating room workflows as it relates to accurate charge capture and documentation practices. EMR systems (e.g., Epic, Cerner, Meditech) proficiency. Familiarity with compliance standards and regulatory requirements. Strong analytical skills with the ability to collect, interpret, and report on charge capture data, supply utilization trends, and documentation compliance. Experience in generating regular reports for for leadership review, including metrics on missed charges, charge reconciliation, and billing accuracy. Strong attention to detail and data integrity. Excellent communication and collaboration skills. Organized and self-directed, able to manage multiple priorities and meet deadlines in a fast-paced clinical environment. Certifications Note: CNOR certification preferred or willingness to obtain within 24 months. EDUCATION: HS Diploma or GED Accurately review surgical case documentation (pre-op, intra-op, and post-op) to identify and enter applicable procedural and supply charges into the hospital's electronic medical record (EMR) or billing system. Validate that all chargeable items used during surgery are documented and billed correctly in compliance with hospital policy and payer requirements. Collaborate with surgical nurses, scrub techs, and surgeons to clarify documentation and supply usage. Ensure timely documentation of implants, biologics, and high-cost supplies. Participate in audits and address discrepancies in OR logs or physician preference cards. Maintain compliance with CMS, Joint Commission, and other regulatory agency guidelines related to charge capture and billing. Monitor trends and identify opportunities for process improvement in documentation and charge reconciliation. Educate OR staff on documentation best practices and supply tracking processes. Assist in updating charge sheets, preference cards, and EMR templates in collaboration with materials management and IT. Generate regular reports on charge capture metrics, missed charges, and supply utilization for leadership review.