RN REVENUE INTEGRITY

3 weeks ago

Miamisburg OH USA, United States Kettering Medical Center Network Full time
Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Campus Overview

Kettering Health Miamisburg

* Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
* Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
* The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
* Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
* 142 bed facility
* Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
* In 2020, KH Miamisburg received an A from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
* Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
* KH Miamisburg received several awards from Healthgrades:
* Outstanding Patient Experience Award (2017-2019)
* America's 100 Best Hospitals for Prostate Surgery Award (2020)
* Joint Replacement Excellence Award (2020)

Responsibilities & Requirements

Responsibilities

* Work under the direction/supervision of the Manager
* Be responsible for analyzing revenue cycle deficiencies in order to prevent billing and regulatory claim edits, claim denials and other related charge capture obstacles by working collaboratively with Patient Access, Case Management, Contract Management, Medical Records and other Kettering Health Network departments
* Work closely and collaboratively with Patient Financial Services Commercial and Medicare/Medicaid billing teams for prompt resolution of claim delay issues in compliance with Federal guidelines
* Work to maximize revenue potential through the auditing of ALL Observation status accounts (including Observation-to-Inpatient status)
* Preparation of and participation in Defensive Audits with outside auditing agencies
* auditing of ALL Trauma admissions accounts, the auditing of specialized accounts, such as Blood Transfusion edits and the investigation and resolution of individual account audit requests, including ADR (Additional Development Request) audit requests from CMS and Hydration services denials from all payers
* The RN Revenue Cycle Coordinator acts as Patient Financial Services liaison to share audit findings and identify ways to reduce/eliminate revenue cycle barriers through process improvements and to educate ancillary departments on recommended changes and processes

Requirements

* RN degree from an accredited school of professional nursing and licensed to practice in the State of Ohio.
* RN with minimum of 5 years clinical nursing experience
* Strong understanding of the Revenue Cycle - Registration, Medical Records, Billing practices and Compliance issues
* Strong understanding of medical necessity guidelines
* Experience with computers required. Must be able to utilize and navigate the electronic medical record with accuracy and independence
* Ability to demonstrate initiative and good judgment in a self-directed role
* Ability to clearly communicate with and establish and maintain good rapport with physicians, hospital administration, nurses and other healthcare team members

Preferred Qualifications

* BS/BSN from an accredited school preferred.
* Experience with and/or knowledge of managed care contract terms and federal payer guidelines preferred.
* Experience with hospital billing (UB92 form) and coding requirements/guidelines preferred.
* Knowledge of federal, state, industry-wide utilization and billing regulations preferred.

  • RN Revenue Integrity

    3 days ago

    Miamisburg, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training...

  • RN Revenue Integrity

    4 hours ago

    Miamisburg, OH, United States Kettering Medical Center Network Full time

    Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training...

  • Revenue Integrity Auditor

    3 days ago

    Columbus, OH, United States The Ohio State University Wexner Medical Center Full time

    Scope of Position Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Auditor processes accounts and charges via Work Queues within Epic to ensure...

  • Revenue Integrity Auditor

    1 week ago

    Columbus, OH, United States The Ohio State University Wexner Medical Center Full time

    Scope of PositionTh Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Auditor processes accounts and charges via Work Queues within Epic to ensure...

  • RN COORDINATOR

    6 days ago

    Columbus, OH 43224, USA, United States PSG Global Solutions Full time

    RN Coordinator - Service Integration. Requisition ID 2021-31351 Category. Nursing. Overview. Full-time, 40 hours per week. Salaried nursing position. Benefits eligible. - - Some remote work possible - - Min. $28.75 The Service Integration Coordinator Coordinator, Integration, RN, Children, Patient, Healthcare, Staffing, Health

  • INT/PERM ER RN AT TEXAS

    1 week ago

    Rowlett, TX 75089, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. RN ER NEEDED Location: Rowlett, TX Type of Facility: Short Term Acute Care Type of Control: Voluntary Nonprofit, Church Total Staffed Beds: 176 Total...

  • Revenue Cycle Analyst

    3 days ago

    Miamisburg, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training...

  • INT/PERM RN DIALYSIS IN TEXAS

    1 week ago

    Temple, TX 76508, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together.Category: RN International/PermanentDepartment: Home DialysisSCHEDULE: FULL TIME DAYSProcedural RN Home DialysisHome Dialysis RNFull time Monday-Friday 8am -4:30pmTelephone Call...

  • INT/PERM RN ICU IN TEXAS

    1 week ago

    Austin, TX 78716, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Intensive Care Nights JOB SUMMARY The Registered Nurse (RN) is a licensed professional who uses the nursing...

  • INT/PERM RN WOUND CARE IN TEXAS

    1 week ago

    Dallas, TX 75215, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Wound Care Dept. Shift: Full time Days; 7am -7pm JOB SUMMARY The Registered Nurse (RN) is a licensed professional who uses...

  • INT/PERM RN ENDO IN TEXAS

    6 days ago

    Waco, TX, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Endoscopy Shift: Full time nights; 7pm-7am RN Endoscopy Assisting the surgical team during endoscopic procedures; providing...

  • SD - RN ORTHO/NEURO/SURGICAL - RAPID CITY

    5 days ago

    South Dakota, USA, United States RN Staff Full time

    Job DescriptionEssential Functions:Utilizes the ANA Nursing Process (2010) to perform the following functions:Collects comprehensive data pertinent to the Healthcare consumer s health and/or the situation.Analyzes the assessment data to determine the diagnosis or the issues.Identifies expected outcomes for a plan individualized to the Healthcare consumer of...

  • REGISTERED NURSE

    3 weeks ago

    Columbus, OH 43224, USA, United States Integrity Healthcare Full time

    Practice Details Seeking RN to be a Case Manager to see patients in their homes Flexible and great work-life balance Typically make 25 visits a week so about 5 visits a day EMR - HC/ HB Supervises Home Health Aide and license and documents per Medica Registered Nurse, Case Manager, Manager, Patient, Registered, Nurse, Healthcare, Staffing

  • CHARGE CAPTURE COORDINATOR

    6 days ago

    Alhambra, CA 91802, USA, United States University of Southern California Full time

    Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Clinical, Coordinator, Accounting Manager, Revenue, Clinic, Integrity

  • INT/PERM NICU IN TEXAS

    6 days ago

    Waco, TX, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. RN International/ Permanent Department: NICU Shift/Status: Full Time, 36 hrs/wk Schedule: Night Shift (7pm-7am) JOB SUMMARY The Registered Nurse (RN) is a licensed...

  • NURSE - RN - SKIN INTEGRITY NURSE

    2 weeks ago

    , OH, United States Carespring Full time

    $32.00 - $38.00 base pay!!Come join the family of our State of the Art Long Term Care Nursing Facility!SKIN INTEGRITY NURSE JOB DESCRIPTIONNURSINGSUPERVISORDirector of NursingGENERAL DESCRIPTIONGENERAL CONSIDERATIONS:The Skin Integrity Nurse has a current RN license for the state in which he /she is working.The nurse is flexible with her / his working...

  • INT/PERM RN MEDSURG IN MONTANA

    1 week ago

    Great Falls, MT 59404, USA, United States RN Staff Full time

    Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together.Category: RN International/PermanentDepartment: MedicalSurgicalSchedule: Days/Nights availableJOB SUMMARYESSENTIAL FUNCTIONS OF THE ROLEClinical Judgment: Using clinical...

  • CHARGE REGISTERED NURSE

    1 week ago

    Miamisburg, OH 45342, USA, United States PAM Health Full time

    Charge Registered Nurse (RN) 13 Week Internal AssignmentDon't need the benefits but want to stay local?! Check out this position at $65 per hour!(No Travel Reimbursement)Patient satisfaction is our ultimate goal and YOU make it possible.To fill this role, you'll need: RN License in the stateCurrent BLS certificationCurrent ACLS certificationPrevious hospital...

  • CHARGE REGISTERED NURSE

    6 days ago

    Miamisburg, OH 45342, USA, United States PAM Health Full time

    Charge Registered Nurse (RN) 13 Week Internal Assignment - ICU experience HIGHLY preferredDon't need the benefits but want to stay local?! Check out this position at $65 per hour!(No Travel Reimbursement)Patient satisfaction is our ultimate goal and YOU make it possible.To fill this role, you'll need: RN License in the stateCurrent BLS certificationCurrent...

  • CHARGE REGISTERED NURSE

    1 week ago

    Miamisburg, OH 45342, USA, United States PAM Health Full time

    Charge Registered Nurse (RN) - 13 week assignmentNight positions available!No Travel ReimbursementRegistered Nurse responsibilities:Deliver, direct and supervise exceptional patient careCollaborate with interdisciplinary teamDischarge planning, patient and family teaching for post-hospitalizationTake pride in providing compassionate patient carePatient...