This position is responsible for reviewing, auditing and reporting on revenue integrity with a focus on charge issues and risks at the departmental, facility, and regional level; educating hospital staff on charge reports, charging procedures and changes regarding charges as well as revenue integrity opportunities including but not limited to: analyzing claim denials issues, auditing hospital accounts, serving an integral role on hospital Revenue Integrity Team, leading revenue charge capture work groups, developing summary reports for management and revenue producing departments, and ensuring billing compliance.
College degree preferred. In lieu of degree, five years of revenue or coding management experience required.
Minimum of five years working in healthcare, whether in a clinical or ancillary setting or a Revenue Cycle Department.
Thorough understanding of hospital billing, chart reviews and coding, UR and Case Management, payer contract and reimbursement rates, and other revenue cycle functions.
Coding Certification is preferred