Job Description

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.

• 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.
• 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

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.