Implant Charge Capture Specialist
- Avontix
- 2 - 4 years
- Hyderabad
- 2 months ago
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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
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life SciencesRole Category: NursingRole: Clinical Nurse SpecialistEmployement Type: Full timeContact Details:
Company: AvontixLocation(s): Hyderabad+ View Contact
Keyskills: Supply chain Administration Surgical Medical coding Billing Reconciliation HIPAA Healthcare Anesthesia Auditing
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Avontix
We Avontix Global Pvt Ltd are operating more than 15+ years with 800+ employees. We are located at Hyderabad and Vijayawada.
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