Clinical Revenue Integrity Specialist- Full- Time

4 weeks ago

Montrose, United States Montrose Memorial Hospital Full time

About Montrose Regional Health:

* As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the Joint Commission meeting the highest standards of healthcare.

About the "Department"

* Montrose Regional Health revenue integrityis the auditing and active monitoring to ensure the appropriate level of care or service is billed to the patient.

About The Career:

* The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of physician and nursing documentation in the medical record, accurately reflecting the clinical assessment, diagnosis, and outcomes resulting from the medical care provided. This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly supports medical necessity and level of care, assists in coding and charge capture, contributes to quality reporting measures, and ensures accurate reimbursement. The Clinical Revenue Specialist is a key contributor to process improvement, provider and staff education, and Revenue Cycle Initiatives.

All About You:

* Current Registered Nurse licensure in the state of Colorado.
* Knowledge of criteria for Medicare, Medicaid, and private insurance coverage.
* Minimum of three (3) years acute hospital nursing experience required; two (2) to three (3) years Case Management experience preferred; and one (1) to two (2) years Utilization Review experience preferred.

What We Offer:

* Mentoring
* Continuing Education
* 401 K Retirement Plan with employer match plus 457(b) Top Hat Retirement plan
* Multiple health options to selection from

Our Brand:

* Integrity & honesty in everything we do
* Service with care and compassion
* Excellence
* Leadership with innovation & Creativity
* We care for our team like family.
* This position is located in Montrose Colorado

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