Implant Charge Capture Specialist

2 days ago

Hyderabad, Telangana, India nimble International Full time ₹ 9,00,000 - ₹ 12,00,000 per year

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 

Who we are

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join over 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

The Implant Charge Capture Specialist is responsible for supporting healthcare provider clients in the accurate capture, reconciliation, and billing of implantable devices and supplies. This role ensures implant-related charges are documented correctly, compliant with payer and regulatory guidelines, and optimized for reimbursement. The position requires strong knowledge of revenue cycle operations, implant charge workflows, and payer billing requirements.

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 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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