Lead Revenue Integrity Specialist
2 weeks ago
Position Overview:
The Senior Revenue Integrity Analyst plays a crucial role in ensuring accurate billing for all services and items, including procedures, evaluation and management (E&M), supplies, and pharmaceuticals. This position is essential for maintaining compliance and optimizing revenue processes.
Key Responsibilities:
- Oversee the accurate charging of services and items, ensuring all necessary documentation is in place.
- Collaborate with various departments to enhance processes related to charge capture and reconciliation.
- Provide education and support to staff regarding revenue integrity practices.
Compensation:
The hourly wage for this role ranges from $32.28 to $51.54, translating to an annual salary between $67,142 and $107,203. Compensation is determined based on relevant experience, and a comprehensive benefits package is available for eligible positions.
Work Schedule:
This is a full-time position requiring availability from 8:00 AM to 5:00 PM, Monday through Friday, with the flexibility of working remotely.
Qualifications:
Education and Experience:
- A minimum of an Associate's degree in Business Administration, Nursing, Healthcare, Finance, or a related field, along with at least five years of relevant experience in the healthcare sector.
- Alternatively, eight years of pertinent experience in areas such as billing, charge description master, chart auditing, coding, and charge capture.
- Preferred qualifications include a Registered Nurse (RN) license or clinical experience, along with prior experience in Revenue Integrity.
- Familiarity with Epic clinical and revenue cycle modules is advantageous.
- Knowledge of APC, DRG, APR-DRG, managed care reimbursement, and compliance with CMS regulations is required.
- Experience in a multi-hospital integrated delivery system is essential.
Certifications:
Applicants must possess one of the following:
- Registered Nurse License
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
- Certified Professional Coder (CPC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Integrity Practitioner (CDIP), or Certified Coding Specialist (CCS) certification.
- Epic Certifications (e.g., Resolute, Willow, Beaker, etc.) are preferred.
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