Surgical Revenue Integrity Specialist - Pre-Bill & Implants

Capital Health (US); Lawrenceville (NJ); On-site; USD 61,124 - 79,859; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Flexible Spending Accounts

Retirement Savings Plan

Paid Time-Off Program

Job summary

Capital Health (US) is seeking a dedicated Revenue Integrity Specialist in Lawrenceville, NJ. This role focuses on ensuring accurate charge capture for surgical cases through detailed analysis and collaboration with clinical teams. Candidates must have a high school diploma, with an associate degree preferred, and at least three years of relevant experience in hospital revenue cycles. Proficiency in Excel and effective communication skills are essential. Strong understanding of billing practices will be crucial for success.

Qualifications

• 3 years' experience in hospital revenue cycle or surgical billing support.
• Registered Nurse (RN) license preferred, not required.
• Strong competency in interpreting operative/procedural documentation.

Responsibilities

• Perform pre-bill surgical revenue integrity review for designated accounts.
• Review physician operative reports to validate services in pre-bill charging records.
• Reconcile implant/device/supply usage across documentation and records.

Skills

Understanding of hospital charge capture

Strong analytical skills

Effective communication

Proficiency in Excel

Education

High school diploma or equivalent

Associate degree in healthcare or related field

Tools

EHR/revenue cycle systems

Excel

Job description

Capital Health (US) is seeking a dedicated Revenue Integrity Specialist in Lawrenceville, NJ. This role focuses on ensuring accurate charge capture for surgical cases through detailed analysis and collaboration with clinical teams. Candidates must have a high school diploma, with an associate degree preferred, and at least three years of relevant experience in hospital revenue cycles. Proficiency in Excel and effective communication skills are essential. Strong understanding of billing practices will be crucial for success.