Revenue Integrity Specialist

3 weeks ago


St Louis, Missouri, United States Vivo HealthStaff Full time
Job Overview

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 Overview

We 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.
Required Skills and Qualifications
  • 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.
Benefits

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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