Surgical Coordinator

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The general pay scale for this position at MOH is $17.99 - $27.67 per hour. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc.

Under minimal supervision, dedicated to internal surgery scheduling from physician's orders as directed by the physician. Close working relationship and good communication with physician a must. Reserve operating room date and time. Schedule anesthesia and surgical assistant and any outside surgical representatives and/or equipment necessary for procedure. Provide patient with pre-operative testing information ordered by physician. May be required to obtain any pre-operative testing results requested by physician and take appropriate actions as directed by Physician. Obtain necessary insurance authorization and pre-certification from insurance company with the proper Procedure (CPT) and Diagnosis codes (ICD-10). Communicate to the patient surgical information, all necessary prep the date/time/location of the appointment. May help orient, train and assign work of lower-level employees. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards

Responsibilities

Job Description

Key Responsibilities

• Plan, implement, coordinate, evaluate and promote the continuity of care consistent with established standards and practices
• Review with patient, their medications and health history; may impact surgical clearance from other care providers

• Coordinate tasks associated with case scheduling to include completion of all required pre-surgery/procedure tasks, based on type of case:
• Coordinate pre-operative appointments with/for the patient
• Notify any needed representatives of surgery case (e.g., Vendors, First Assists, etc.)
• Confirm/verify if a special product needs to be ordered for the case
• Coordinate, schedule, and authorize pre-operative clearance testing and any diagnostic imaging, (e.g., CT, MRI, US, X-Ray)
• Complete & send all required scheduling documentation to surgical facility (include authorization/pending authorization info)
• Complete and send History and Physical, surgical order, and any required documentation to physician for review/signature
• Complete & send surgical facility consent form with patient & physician signature
• May manage "Global Period" alerts in EMR and/or Practice Management System for applicable surgeries
• Scan any surgery documents into EMR as applicable (e.g. signed surgery orders, consents, cardiac clearance, authorizations)

• Review with patient name of procedure/surgery to be performed
• Review with patient any embedded protocols, notifications and/or tasks to be completed
• Discuss with patient any/all preparations including bowel preps
• Confirm surgery scheduled date with the patient, facility and anesthesia
• Requests and ensures appropriate authorizations are obtained in a timely/effective manner for all scheduled procedures/surgeries.
• For insured patients, determines necessary authorization and pre-certification for surgery and other necessary surgical services with the proper Procedure (CPT) and Diagnosis codes (ICD-10}
• Reviews, audits, and adheres to medical policy as outlined by payors to ensure accurate authorization and ensure no delay in reimbursement
• Serve as a patient advocate and serves as a liaison between the patient, payor, office and facility to answer questions and escalate issues.
• Maintains working knowledge of surgical authorization requirements to prevent delays and denials.
• Ensure reports (e.g., Pathology, OR, other) are captured in chart
• Surgical pathology reports are in chart
• All patients have returned to the office as ordered (including stent removals/exchanges)
• Obtain missing Pathology reports
• Schedule any needed appointments not already scheduled, either self or via Physician clinic scheduler as appropriate
• Release any OR blocks with surgical facilities in accordance with stated policy to avoid penalties associated with OR utilization rates
• Administer and process financial and patient care commitments (with any additional staff as appropriate)
• Notify appropriate personnel of a subject procedure for any type of prepayment/collection performed
• Provide any needed contact information for financial questions/concerns
• Obtains all required authorizations
• Facilitates and schedules consultations, pre-testing, diagnostic tests or procedures, referrals and future appointments for patients
• As necessary, facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care.