Revenue Integrity Coordinator

1 month ago


Valhalla, United States WMCHealth Full time

Job Summary: The Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: Monitors various work queues and reports to identify pending charges and works to resolve issues. Researches coding errors to identify resolutions. Provides feedback to providers to correct errors. Recommend sound billing/coding best practices that are able to withstand audits. Foster continuous improvement of revenue cycle processes through education with various departments and trend analysis. Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. Works within Cerner and within SSI to correct billing issues. Works with additional EMRs (Patient Keeper, Paragon) to review billing/coding. Performs periodic review of codes and works with patient billing regarding bundling and unbundling services as delineated in CMS and CCI edits. Researches technical guidance in CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. Maintains and provides information on status of audits and issues presented. Works on special projects as required. Participates in required regulatory change implementations and ongoing monitoring related to compliant charge capture. Performs other duties as assigned. Qualifications/Requirements:

Experience: Minimum two years clinical experience in a healthcare setting, Preferred experience in Excel and Electronic Medical Records experience. Education: High School Diploma required. Associate's Degree preferred or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential Other: Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-10-CM codes is preferred.Special Requirements: Requires travel to other WMCHealth Facilities. About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation and benefits package which includes:

Health Insurance Dental Vision Retirement Savings Plan Flexible Saving Account Paid Time Off Holidays Tuition Reimbursement

#J-18808-Ljbffr



  • Valhalla, United States WMC Health Full time

    Job Details: *This is an onsite position* Job Summary: The onsite Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational...


  • Valhalla, United States Westchester Medical Center Full time

    *This is an onsite position* Job Summary: The onsite Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational opportunity,...


  • Valhalla, United States WMC Health Full time

    Job Details: *This is an onsite position* Job Summary: The onsite Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational...


  • Valhalla, United States WMC Health Full time

    Job Details: *This is an onsite position* Job Summary: The onsite Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational...

  • Software Developer

    3 weeks ago


    Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionSoftware Developer - Integration & AnalyticsAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring the best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture...

  • Software Developer

    2 weeks ago


    Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionSoftware Developer - Integration & AnalyticsAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring the best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture...

  • Software Developer

    1 week ago


    Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionSoftware Developer - Integration & AnalyticsAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring the best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture...

  • Software Developer

    7 days ago


    Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionSoftware Developer - Integration & AnalyticsAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring the best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture...


  • Valhalla, United States WMCHealth Full time

    Department: Mental Health Department Code: 007600 Job Summary: The Manager, Integrated BHS is responsible for coordinating and personally completing behavioral health screenings and evaluations and providing brief to intermediate term treatment and referral services within the hospitals ambulatory care settings. A top priority for this position is...


  • Valhalla, United States Myriad Systems Full time

    Job Summary: We are seeking an experienced and detail-oriented Onboarding Coordinator to join our team. As the Onboarding Coordinator, you will be responsible for overseeing the entire onboarding process for new reps/employees, ensuring a smooth transition and integration into the company. This role requires strong relationship management...


  • Valhalla, United States Boston Childrens Health Physicians LLP Full time

    **COVID vaccine will be required unless medical / religious exemption**. Seeking a Medical Office Coordinator to work for BCHP's Small Offices in Valhalla, NY. Pay rate $20hr-$22/hr, negotiable based on experience. **Essential Tasks, Duties and Responsibilities** - Phone Responsibilities - Answer calls and return messages in a timely manner while...


  • Valhalla, United States Westchester Community College Full time

    **Location**: Valhalla, NY Category: Administrative Positions Posted On: Mon Apr 29 2024 Job Description: Under the general supervision of the Vice President (Administrative Services) and the Assistant Vice President (Comptroller), the Manager of Fiscal Operations (WCC) participates and assists in the direction, coordination and implementation of short and...

  • Managing Editor

    1 month ago


    Valhalla, United States Academy of Management Full time

    The Managing Editor, Content, is responsible for writing and producing content for a new AOM product aimed at reaching new audiences through short-form textual summaries and briefs. The position requires day-to-day operations of launching a new content product, generating and reviewing compelling precise and high-quality content, and growing revenue. Within...


  • Valhalla, United States Retriever Medial Dental Payments LLC Full time

    Director of Marketing Performance At Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture that serves to empower and motivate...


  • Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionDirector of Marketing PerformanceAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture that serves to...


  • Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionDirector of Marketing PerformanceAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture that serves to...


  • Valhalla, United States Retriever Medical Dental Payments LLC Full time

    Job DescriptionJob DescriptionDirector of Marketing PerformanceAt Rectangle Health, we believe that our team members are our most important asset. We grow our team by hiring best-in-class talent. We encourage all employees to contribute their individual talents and ideas to strengthen our team, our brand, and our services. We promote a culture that serves to...


  • Valhalla, United States Myriad Systems Full time

    **Job Title: Business Development Liaison** **Overview**: Are you a proactive and results-driven individual passionate about driving business growth in the credit card processing industry? Join our team at Myriad Systems, where we're revolutionizing healthcare technology with cutting-edge AI solutions. As a Business Development Liaison, you'll engage with...


  • Valhalla, United States Myriad Systems Full time

    **Job Title: Business Development Liaison** **Overview**: Are you a proactive and results-driven individual passionate about driving business growth in the credit card processing industry? Join our team at Myriad Systems, where we're revolutionizing healthcare technology with cutting-edge AI solutions. As a Business Development Liaison, you'll engage with...


  • Valhalla, United States Medix Full time

    Ensures that all bills are prepared and claims submitted manually and/or electronically in a timely and accurate manner in accordance with government and contractual rules, regulations and billing proceduresPerforms end-to-end revenue cycle functions, from billing through collections process, including evaluating claims denials and resubmitting claimsManages...