Revenue Integrity Specialist, Day Shift, Patient Financial Services
2 months ago
Support Center
If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.
Adventist HealthCare seeks to hire an experienced Revenue Integrity Specialist who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.
As a Revenue Integrity Specialist you will:
•Research and identify quality assurance gaps in AHC Enterprise-wide billing, coding, and payment practices. This includes both Acute care hospitals and physician enterprise.
•Keep work queues at agreed upon levels to keep on task with department goals and objectives
•Escalate any barriers or concerns to manager in a timely and clearly articulated and documented format
•Perform EHR analysis and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of charge capture delays and reconciliation challenges
•Build & maintain relationships with key stakeholders covering a range of business sectors.
•Provide support to Director, Manager and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding to care quality, documentation, and reimbursement.
•Serve as auditing SME for Revenue Integrity
•Provide input to coding team, including coding auditors and coding vendor as needed.
•QAQC role works with key contacts, dashboards and reports to reconcile charges according to the source information and against visits and other visit data
•Work to ensure charges are entered timely and escalates any barriers to charge capture or reconciliation
•Review and supports policies and procedures on Charge Capture and Reconciliation
•Run reports and responds to requests for detailed analysis, responses and recommended corrective action.
•Focus reporting on AHC denials, rejections and holds to determine patterns and trends and support corrective action needed
Qualifications include:
•5 years of experience in quality review and comparable position
•Associate Degree preferred
•Strong experience with patient accounts audits and accuracy are required.
•Good organizational, written, and verbal communication skills
•Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
•Ability to work as an independent contributor.
•Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel; fluency in Cerner and/or eCW is desirable.
•Strong attention to details and accuracy, using problem-solving skills and analytical thinking.
Work Schedule:
Monday to Friday.
At Adventist HealthCare our job is to care for you.
We do this by offering:
- Work life balance through nonrotating shifts
- Recognition and rewards for professional expertise
- 403(b) retirement plan
- Free Employee parking
- Benefits Eligible Positions:
- Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]
- Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting
- Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members
- Subsidized childcare at participating childcare centers
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
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