Revenue Integrity Specialist

2 weeks ago


Melville, New York, United States Catholic Health Full time
Job Summary

Catholic Health is seeking a highly skilled Revenue Integrity Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and compliant charge capture and billing processes.

Key Responsibilities
  • Provide guidance and communication on correct charge capture and billing processes to clinical departments and facilities.
  • Perform periodic reviews and assessments of charge capture for PRC departments.
  • Identify trends and participate in the resolution of revenue/charge-related issues.
  • Identify opportunities for capturing additional revenue in accordance with payer guidelines.
  • Develop specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections.
  • Coordinate and assist with research and implementation of charge capture processes for new services and/or new/updated technology.
  • Work with Coding and clinical departments to identify/resolve errors based on ICD/CPT Coding Guidelines and National Correct Coding Initiative edits.
  • Respond to departmental charging inquiries in a timely manner.
  • Lead meetings to discuss charge capture findings.
  • Assist in developing revenue integrity training documentation and policies for training and education within the Revenue Integrity team and departments providing physician services.
  • Perform other duties as assigned.
Requirements
  • Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
  • Three (3) or more years of experience in charge documentation, charge audit, or charge capture activities.
  • Proficient knowledge of ICD/CPT coding required; CPC or CCS-P required.
  • Strong computer literacy required, including proficiency in relevant software, including Microsoft Office (Excel, PowerPoint, and Word; Access a plus).
  • Epic HB/PB experience preferred.
  • Related Epic certification and/or Epic proficiency preferred.
What We Offer

Catholic Health offers a competitive salary range of USD - USD per year, as well as a comprehensive benefits package, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.



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