Revenue Integrity Coordinator

3 weeks ago

Coos Bay, United States IMCS Group Full time
Job DescriptionJob Description

This position is responsible for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) at Bay Area Hospital, in coordination with our Epic Community Connect partners. Supports clinical departments responsible for working decentralized edits. Is responsible for working and resolving edits assigned to Revenue Integrity. Serves as a resource to both internal departments and the Community Connect chargemaster team and will help with identifying CPT codes, revenue codes or payer specific charging requirements for services provided.

SKILLS AND ABILITIES

  • Demonstrates the ability to use a personal computer, office equipment and various software programs applicable to the position
  • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook & Excel) and the ability to manipulate large data files required
  • Familiarity with industry best practices and standards
  • Ability to translate complex problems & concepts
  • Effective and professional communication skills, both verbal and written
  • Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision
  • Ability to use initiative and judgment skills in carrying out responsibilities
  • Good interpersonal skills and communication with all levels of management
  • Excellent team building and management skills
  • Organizational skills that promote the ability to work well without direct supervision, manage time effectively and appropriately prioritize multiple assignments to meet project deadlines
  • Effective collaboration and communication with a variety of individuals, both internal and external, including multidisciplinary teams
  • Ensures recommendations support adherence to all federal, state and other regulatory requirements.
  • Flexibility in job schedule to provide user support and advance project goals
  • Maintains regular, consistent and punctual attendance at the assigned job location

REQUIREMENTS

  • High school graduate or equivalent - REQUIRED.
  • Minimum of 3 years of HOSPITAL (HB) and PROFESSIONAL (PB) chargemaster hands on work experience in healthcare revenue cycle - REQUIRED.
  • Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) code and Revenue Codes – REQUIRED
  • Must know what work queues are and how to fix in Epic/very hands on and must know all components of CDM and maintenance of CDM- REQUIRED
  • Must understand and have experience with MUEs and CCI Edits- REQUIRED
  • Experience with Epic, 3M EMR and RI- Required
  • ARCR: Resolute Hospital Billing & Charging - REQUIRED
  • ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding - REQUIRED

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