Current jobs related to Revenue Integrity Specialist | Revenue Integrity - Marysville - Memorial Hospital Union County

  • Revenue Cycle Manager

    3 weeks ago

    Marysville, Ohio, United States Memorial Hospital of Union County Full time

    Revenue Cycle ManagerWe are seeking a highly skilled and experienced Revenue Cycle Manager to join our collaborative team at Memorial Hospital of Union County.Job Summary:The Revenue Cycle Manager will be responsible for overseeing the revenue cycle process, ensuring compliance with internal policies and external requirements, and identifying opportunities...

  • Surgical Physician Opportunity in Marysville, California

    7 days ago

    Marysville, California, United States Integrity Locums Full time

    Job Title: Surgery-General PhysicianWe are seeking a skilled General Surgeon to join our team at Integrity Locums in Marysville, California.About the JobThis is a fantastic opportunity for a dedicated and compassionate physician to work in a dynamic environment.ResponsibilitiesPerform general surgical procedures with a focus on patient care and...

  • Surgical Physician Opportunity in Marysville, California

    6 days ago

    Marysville, California, United States Integrity Locums Full time

    Job Title: Surgery-General PhysicianWe are seeking a skilled General Surgeon to join our team at Integrity Locums in Marysville, California.About the JobThis is a fantastic opportunity for a dedicated and compassionate physician to work in a dynamic environment.ResponsibilitiesPerform general surgical procedures with a focus on patient care and...

  • Surgery-General Physician Opportunity

    2 weeks ago

    Marysville, California, United States Integrity Locums Full time

    **About the Role**Integrity Locums is seeking a skilled General Surgeon to join our team. As a General Surgeon, you will be responsible for performing a variety of surgical procedures, including but not limited to, laparoscopic and open surgeries.**Key Responsibilities**Perform surgical procedures on patients, including but not limited to, laparoscopic and...

  • Mechanical Engineering Professional

    1 week ago

    Marysville, Washington, United States Nexus Dynamics Full time

    Job DescriptionJob Title: Mechanical Engineering Professional - Practice-Integrated StudyJob Summary: We are seeking a highly motivated and detail-oriented Mechanical Engineering Professional to join our team at Nexus Dynamics. As a Mechanical Engineering Professional, you will have the opportunity to work on a variety of projects, including calculation and...

  • Surgery - General Physician

    1 month ago

    Marysville, United States Integrity Locums Full time

    Coverage Needed Ongoing need into next year, open to locums-perm Schedule 24 hrs for a 2 week schedule covering inpatient census of 3 and clinic Clinical Details Some time will be spent on surgical procedures Rounding on hospital list 2-4 patients, available for surgeries Charting is expected to be completed during a normal shift Requirements ...

  • Professional Billing Specialist

    2 weeks ago

    Marysville, Ohio, United States Memorial Hospital of Union County Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Professional Billing Specialist to join our team at Memorial Hospital of Union County. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely processing of medical claims, managing accounts receivable, and providing exceptional customer service to...

  • Financial Solutions Expert

    3 weeks ago

    Marysville, Michigan, United States Advia Credit Union Full time

    **Job Title:** Financial Solutions Specialist**Employment Type:** Full-Time, On-site**Salary:** Starting at $20.96 per hour with uncapped incentive based on performance**Benefits:**Comprehensive financial solutionsCompetitive financial benefitsSpecialized training and developmentAccess to cutting-edge technology resourcesOpportunities for career advancement...

  • Material Handling Specialist

    3 weeks ago

    Marysville, Washington, United States SkySource Solutions Full time

    Material Handling SpecialistSkySource Solutions is seeking dedicated Material Handling Specialists to become integral members of our skilled workforce within the recycling sector. This position focuses on the efficient handling and transportation of various products and materials.Key Responsibilities:Collect and categorize diverse materials designated for...

  • SAP Process Orchestration Specialist

    3 weeks ago

    Marysville, Ohio, United States Smart IT Frame LLC Full time

    Position Title: SAP Process Orchestration SpecialistLocation: HybridContract Type: Long TermKey Responsibilities:Design, develop, and oversee integration solutions utilizing SAP Process Orchestration for EDI and B2B platforms.Engage in communication with solution development, deployment, and legacy teams to ensure seamless integration.Facilitate interactions...

  • Production Specialist

    1 week ago

    Marysville, Ohio, United States Mission Mountain Holdings Inc Full time

    {"title": "Production Specialist", "content": "Key ResponsibilitiesWe are seeking a highly skilled Production Specialist to join our team at Mission Mountain Holdings Inc. As a key member of our production team, you will be responsible for ensuring the highest quality products are prepared and delivered to our customers.Key Responsibilities:Cook and prepare...

  • Custodial Specialist

    3 weeks ago

    Marysville, California, United States Prestige Care Inc Full time

    Custodial Specialist - Senior LivingCompany Overview:Prestige Care Inc.Location: Not specifiedPosition Details:Status: Full-Time/Part-Time/On-CallShift: Day/Evening/NOCSchedule: VariousWorking Hours Start: VariousWorking Hours End: VariousAs a Custodial Specialist at Prestige Care Inc., you will be integral in ensuring a clean and safe environment for...

  • Radiology Systems Coordinator

    3 weeks ago

    Marysville, Washington, United States Optum Full time

    For those eager to shape the future of healthcare, this is your chance. We are advancing beyond conventional care to health programs that are seamlessly integrated across the entire spectrum of services. Join us to embark on Caring. Connecting. Growing together.Under general oversight, this role encompasses all facets of planning, coordination,...

  • Production Control Specialist

    6 days ago

    Marysville, Washington, United States Safran Full time

    Job Title: Production Control SpecialistJoin Safran Cabin, a leading global player in the aerospace industry, as a Production Control Specialist. This role is a key position in our Supply Chain team, responsible for ensuring the successful execution and customer satisfaction of our programs.Key Responsibilities:Manage program adherence, risks, opportunities,...

  • Signal Support Systems Specialist

    1 week ago

    Marysville, Kansas, United States Army National Guard Full time

    Job DescriptionAs a Signal Support Systems Specialist with the Army National Guard, you will play a critical role in ensuring the smooth operation of communication systems and networks. Your expertise will be essential in maintaining the flow of information within military units, enabling them to function effectively and efficiently.Key...

  • Mental Health Specialist

    2 weeks ago

    Marysville, Washington, United States Soliant Full time

    Job Summary:We are seeking a highly skilled and experienced Board Certified Behavior Analyst to join our team at Soliant Education. As a key member of our team, you will be responsible for providing behavioral therapy services to students in a resource classroom setting.Key Responsibilities:Develop and implement individualized behavior plans to support...

  • Firearms Sales Specialist

    3 weeks ago

    Marysville, Ohio, United States Rural King Full time

    Become a Part of Our Team at Rural King Farm and Home StoreAt Rural King, we are committed to fostering a supportive and rewarding workplace for our team members. We provide avenues for advancement, competitive benefits, and a culture that prioritizes people, allowing you to collaborate with dedicated associates who are passionate about serving rural...

  • Custodial Specialist

    3 weeks ago

    Marysville, California, United States Prestige Care Inc Full time

    Position Overview:Wage Range for this position is $16.00-$20.00 /hour DOE & Seniority with Prestige.Employment Type:Full-Time/Part-Time/On-CallShift Availability:Day/Evening/NOCSchedule:VariousWorking Hours:Start and End times vary.Role Responsibilities:As a Custodial Specialist, your primary responsibility will be to maintain the cleanliness and safety of...

  • Signal Support Systems Specialist

    2 hours ago

    Marysville, Washington, United States Army National Guard Full time

    Job DescriptionAs a Signal Support Systems Specialist in the Army National Guard, you will play a critical role in ensuring the smooth flow of information within military units. Your expertise will be essential in integrating signal systems and networks, performing signal support functions, and maintaining authorized signal equipment.Key...

  • Caregiver Support Specialist

    3 weeks ago

    Marysville, Washington, United States Prestige Care Marysville Full time

    Caregiver Support Specialist - On-Call Prestige Care - Marysville Location: Marysville, CA Compensation: Hourly with a range of $16 to $21 per hour based on experience and seniority, plus an additional $1.00 shift differential for night shifts and Sundays. Position Overview: The Caregiver Support Specialist is responsible for delivering...

Revenue Integrity Specialist | Revenue Integrity

4 months ago

Marysville, United States Memorial Hospital Union County Full time

The primary objective of the Revenue Integrity Specialist is to identify and prevent recurrence of issues that may cause revenue leakage and/or billing compliance risks. Essential functions are designed to focus on process improvement initiatives and protection of the integrity of revenue through ongoing reviews, monitoring, and trending, to strengthen the interface between clinical departments and charge improvement processes.

* Utilizes working knowledge of coding rules to perform ancillary service quality assurance reviews and departmental audits in accordance with the annual workplan, to include performing chart to bill audits.
* Verbal and written communication skills, demonstrating the ability to work effectively with interdepartmental members of the team.
* Utilizes available technology, data and reporting to complete an analysis of charges, verifying that the appropriate charges have been posted to patient account according to the diagnosis and procedure codes performed; ensuring that revenue has been recorded in the appropriate department.
* Completes focused charge review assessments for assigned clinical departments and service lines to ensure that charges are generated in accordance with established policies and timeframes.
* Documents findings and reviews with Director providing recommendations to improve charge capture accuracy and ensure compliance with state regulatory requirements.
* Identifies charge trends and compiles information to determine focused reviews of specific departments and in turn provides results with recommendations for process improvements.
* Identify, report, and participate in the resolution of any charge related issues, to include developing action plans, with monitoring and trending to ensure resolution.
* Assists with third party audits as needed.

Remains current with reimbursement issues by reviewing bulletins from Medicare, Medicaid, Anthem, and Commercial carriers, attending continual education sessions.

* Works with Coding and other clinical departments to identify and update workflows and/or edits based on ICD/CPT Coding Guidelines and National Correct Coding Initiative (NCCI) edits.
* Understands the various reimbursement methodologies used by payers and can verify the appropriateness of the reimbursement the Hospital receives from third party payers including Medicare, Anthem, Medicaid, and Commercial carriers.
* Regularly review literature to identify enhancement to the quality assurance methodology and documentation requirements. Maintains in-depth knowledge of Medicare and Medicaid billing practices, guidelines, laws, and regulations to ensure accurate Medicare and Medicaid billing. Reviews and interprets Medicare Local Coverage Determinations and National Coverage Determinations (LCD and NCD) and applies that to the billing process.

Contributes to Charge Capture and Reconciliation Initiatives

* Advises department leaders and their staff on proper usage of charge codes; identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections
* Prepares resource material for education, including tip sheets, related to Revenue Integrity and charge capture
* Maintains current knowledge of the Charge Description Master, clinical charging procedures, and related systems, coordinating with the Charge Description Master (CDM) to review any concerns related to the CDM

Continuing education and special projects

* Performs quality work within deadlines and contributes to Key Performance Indicators (KPIs) tracking and/or reporting.
* Participates in moderately complex projects related to revenue integrity initiatives
* Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations

EXPERIENCE AND QUALIFICATIONS: Minimum of two years coding experience in a hospital setting, with coding certification preferred. Knowledge of electronic medical record, medical terminology, third party billing requirements, CPT, ICD-10, PCS, and modifier, Medicare and Medicaid payment methodologies; and general knowledge of standard billing practices. Excellent organizational, planning, interpersonal, written, and oral communication skills. Knowledge of and proficient skill in the use of core PC-based Microsoft Excel, Word, PowerPoint, Access functions.

LICENSURE OR CERTIFICATION REQUIREMENTS: Coding certification: professional certification through AHIMA (CCA) or AAPC (CPC‑A, COC-A) are highly preferred. An example of acceptable experience and qualifications: Or must obtain professional credentials within 6 months of employment.

Shift

1st shift

Hours

80 per pay (every 2 wks)

Benefits

* Medical Insurance
* Dental Insurance
* Vision Insurance
* Life Insurance
* Flexible Spending Account

Time Off

* Vacation
* Sick Leave
* 11 Paid Holidays
* Personal Day

Retirement

* Ohio Public Employee Retirement System
* Deferred Compensation

Other

* Tuition Reimbursement
* Kidzlink Daycare Center
* Employee Recognition
* Free Parking
* Wellness Center
* Competitive Salaries
* Community/Family Atmosphere