Sr. Revenue Integrity Liaison, Remote
1 month ago
Description:
RESPONSIBLE FOR:
The Sr. Revenue Integrity Liaison will support the Radiology/Interventional Radiology and Pain Clinic service line.
Plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. With responsibility for the most complex clinical departments and practices and acting with a high degree of autonomy, performs various audits with a focus on revenue cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills. Provides oversight to junior analysts to meet deadlines and complete projects.
This position is responsible for providing assistance in maintaining systems, processes and workflows, for the timely and accurate recording of hospital revenue in regards to charge capture. Serves as a facility liaison to PHC hospital staff as it relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and maintained. Using knowledge of state and federal guidelines, this position monitors compliance and ensures timely entry of patient charges. This position maximizes charge efficiency through (1) Monitoring revenue cycle processes and staff functions, (2) Supporting PHC's revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates, (3) Assisting in the design and implementation of charge capture/billing workflow improvements.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelors degree from a recognized college or university.
In lieu of degree, six (6) years of relevant work experience will be accepted in addition to the experience
Required.
MINIMUM EXPERIENCE REQUIRED:
Five (5) years healthcare experience in an acute care hospital setting.
(In lieu of degree, a total of eleven (11) years of experience is required.)
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
AHIMA certification (e.g. RHIA, CCS, RHIT); AAPC certification (e.g. CPC, CPH, CA) or applicable clinical or professional certifications/licenses such as RN, RT, MT, RPH, ARRT required.
ADDITIONAL QUALIFICATIONS:
Hospital outpatient coding experience preferred.
Experience in hospital charging/billing or performance charge review preferred.
Dual Hospital and Professional Coding Certification(s) preferred. (CPC, CPC-H, CCS, CCSP) is preferred. Expert knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, Clinical charging practices, and billing regulations and practices.
RN and/or clinical operations experience a plus.
Experience working with EPIC.
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