Senior Revenue Integrity Charge Specialist

1 month ago

Mechanicsville, United States Revenue Integrity Full time

Description

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Senior Revenue Integrity Charge Specialist opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a Senior Revenue Integrity Charge Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply

Job Summary and Qualifications

The Senior Revenue Integrity Charge Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.

What you will do in this role:

  • Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines
  • Coordinates with facility/departments to obtain missing medical record documentation as needed
  • Coordinates with department leaders to identify trends and address issues related to charge capture
  • Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely
  • Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments
  • Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance
  • Provides focused education to clinical and coding stakeholders as needed
  • Participates to ensure CDM/system updates result in appropriate reimbursement
  • Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility
  • Advanced knowledge of hospital and outpatient CVIR coding and billing practices
  • Extensive knowledge of CPT and HCPCS coding and charging practices specific to CVIR service lines
  • Extensive knowledge of CVIR procedures and medical necessity policies related to CVIR procedures
  • Proficient in ICD-10 CM/PCS, HCPCS/CPT coding conventions and guidelines
  • Ability to work independently and carry out assignments in completion
  • Excellent Verbal and Written Communication Skills to speak with and education clinicians and facility, Division, and Corporate Leadership

What qualifications you will need:

  • Associates Degree Required. Equivalent work experience may substitute education requirements.
  • Minimum 1 year coding/HIM experience
  • Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)
  • RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date).

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Across HCA Healthcares more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Senior Revenue Integrity Charge Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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