Revenue Integrity Specialist
3 weeks ago
Vivo HealthStaff is seeking a highly skilled Revenue Integrity Specialist to join our dynamic team as a fully remote SBO Coordinator.
Estimated Salary: $65,000 - $85,000 per annum (based on national averages and industry standards).
Company OverviewWe are a distinguished healthcare provider dedicated to delivering exceptional patient care and fostering a culture of innovation and excellence.
Key Responsibilities- Support clinical departments in managing decentralized edits.
- Work and resolve edits assigned to Revenue Integrity.
- Serve as a resource to internal departments and the Community Connect chargemaster team.
- Assist in identifying CPT codes, revenue codes, and payer-specific charging requirements for services.
- Maintain effective coordination with various healthcare departments for seamless revenue cycle operations.
- High school graduate or equivalent.
- Minimum of 3 years of hospital (HB) and professional (PB) chargemaster hands-on work experience in healthcare revenue cycle.
- Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, and Revenue Codes.
- Proficiency in Epic, including understanding of work queues and in-depth knowledge of all components of CDM and its maintenance.
- Experience with MUEs and CCI Edits.
- Experience with Epic, 3M EMR, and RI.
- ARCR: Resolute Hospital Billing & Charging.
- ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding.
This opportunity offers a chance to contribute to the efficiency and effectiveness of healthcare revenue operations in a remote capacity. If you meet the above criteria, we encourage you to apply and become part of our dynamic team.
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