Medical & Surgical Charge Poster Team Lead

General Summary

Provide lead support to the team and coordinate the workflow to ensure performance is maintained. Coach, train, support, and offer guidance to Charge Posters in the accurate posting of charges, payments, and adjustments for Ophthalmology Ambulatory Surgery Center (ASC) and Practice. Ensure timely and precise charge entry, claim submissions, and revenue cycle support to optimize reimbursement and maintain compliance with payer guidelines.

Essential Functions

Oversee the work of the division/team staff and manage the daily work volume including service agreements with business partners

Monitor team performance; provide prompt, objective coaching and counseling; apprise supervisor of successes and concerns; provide input for performance evaluations

Coordinate with other units/departments to facilitate special requests, change in processes and resolution of workflow/production issues

Ensure all department processes and performance standards are documented accurately; develop and maintain department procedure manuals; train division/team employees on current or revised unit processes and procedures

Enter and post charges for ophthalmology practice and ASC services (e.g., cataract surgery, retina injections, laser procedures).

Verify coding accuracy, ensuring proper use of CPT, HCPCS, and ICD-10 codes based on provider documentation

Review encounter forms, operative notes, and clinical documentation to confirm correct charge capture

Ensure timely submission of claims to insurance companies, minimizing denials and rejections

Audit charge entry for accuracy and compliance with payer policies and reimbursement guidelines

Post payments from patients, ensuring correct application to accounts

Identify and correct posting errors, underpayments, and overpayments

Ensure compliance with Medicare, Medicaid, commercial payer policies, and ASC billing regulations

Stay updated on coding changes, payer requirements, and regulatory updates

Perform daily claim reconciliation, ensuring all charges have been captured and submitted correctly

Reconcile batches at the end of the day, ensuring that all financial records are balanced

Identify and resolve claim discrepancies, coding errors, and missing documentation working with physicians, clinical staff and revenue cycle teams to correct

Review insurance denials and work with the appeals team to submit corrections

Coordinate with the Surgery Center team to verify and ensure proper billing for all procedures performed

Generate daily, weekly, and monthly reports on charge posting

Communicate billing and payment trends to management, identifying areas for process improvement

Job Specifications

Typically has the following skills or abilities:

Minimum of 3 years of experience in medical billing, charge posting, or revenue cycle management in a healthcare setting

One year experience with ophthalmology billing and ASC revenue cycle processes preferred

Certified Professional Coder (CPC) or Certified Ophthalmology Coder (COC) certification preferred

Proficiency in EHR, billing software, and Microsoft Office (Excel, Word, Outlook)

Bilingual (English & Spanish) preferred

Strong understanding of medical billing, coding, and charge entry for ophthalmology and ASC procedures

Experience with CPT, HCPCS, ICD-10, and payer-specific coding guidelines

Proficiency in electronic health records (EHR) and practice management systems (NextGen preferred)

Familiarity with Medicare, Medicaid, and commercial payer billing regulations

Ability to identify and resolve charge posting discrepancies and claim errors

Excellent analytical, problem-solving, and reconciliation skills

Strong attention to detail and accuracy in data entry

Ability to work independently and as part of a team in a fast-paced environment

Working Conditions

The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc.

The above information in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.