Revenue Integrity Specialist

5 days ago


Baltimore Maryland, United States Mercy Medical Center Full time
About the Role

Mercy Medical Center is seeking a highly skilled Revenue Integrity Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for maintaining and updating our hospital charge master, analyzing billing errors and denial data, and working with various departments to ensure compliant charges and accurate reimbursement.

Key Responsibilities
  • Maintain and update hospital charge master, including reviewing and analyzing necessary CPT changes related to quarterly and annual AMA CPT updates and HSCRC regulations.
  • Monitor and assist with review of revenue cycle work queues in EPIC, analyzing billing errors and denial data to identify root cause of issues.
  • Work with Revenue Integrity Team, Clinical Operations, and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials, and accurate reimbursement.
  • Assist with process of submission of state mandated abstract reports, including coordinating with affected departments and completing abstract reconciliations and modifications as needed.
Requirements
  • Bachelor's Degree from an accredited institution.
  • Clear aptitude and desire to work in an environment requiring analytical skills.
  • Healthcare experience preferred, with Epic experience also preferred.


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