Revenue Integrity Clinical Liaison Specialist

1 week ago


Orlando, Florida, United States Orlando Health Full time
Job Summary

The Revenue Integrity Clinical Liaison plays a critical role in ensuring the hospital's revenue cycle is optimized. This position requires a strong understanding of regulatory and compliance rules, as well as the ability to identify revenue opportunities and implement process improvements.

Key Responsibilities
  • Monitor regulatory and compliance rules to ensure accurate revenue capture
  • Identify and implement process improvements to increase revenue capture and decrease denials
  • Collaborate with the Revenue Integrity Department to ensure seamless communication and workflow
  • Develop and maintain relationships with administration, CFOs, managers, and other stakeholders
  • Work with IS, Nursing, and Revenue Management departments to implement charge capture opportunities
  • Represent the Revenue Integrity department professionally and positively in both formal and informal settings
  • Maintain an ongoing database of contacts and charge entry systems
  • Assist departments in understanding their responsibility for daily charge capture and reconciliation
  • Prepare and distribute executive summaries on process improvements
  • Understand and apply pricing methodologies to charges
  • Review regulatory alerts and updates, and make changes to the Chargemaster regulatory system as needed
Requirements
  • Bachelor's degree in business administration, finance, computer science, or a healthcare-related field
  • Four years of clinical or hospital experience, or one year of management experience within a hospital
  • Understanding of the Revenue Cycle in a hospital
  • Knowledge of Medicare, Medicaid, Medicare OPPS reimbursement, and other third-party billing rules and coverage


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