Revenue Integrity Specialist

1 week ago

Frisco, Texas, United States Conifer Revenue Cycle Solutions Full time
Job Summary

This position is responsible for maintaining and coordinating the Charge Description Master (CDM) for facilities. The successful candidate will assist with reports and tasks directly related to the chargemaster, providing general training and guidance on CDM maintenance. Additionally, they will assist with special projects, as needed, relating to pricing, conversion, new CDM tools, and CDM reviews within the departments.

Essential Duties and Responsibilities
  • Reviews and maintains all CDM maintenance activity, including data entry.
  • Coordinates with leaders/team to assist with special projects related to price increases, special requests from clients, system conversions, or implementation of new CDM tools.
  • Compiles, downloads, and distributes statistical CDM information.
  • Assists with reports and tasks directly related to the chargemaster as assigned.
  • Performs reconciliation of data input to ensure accuracy of CDM.
Knowledge, Skills, Abilities

To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • Working knowledge of the principles, practices, and tools relating to accounting, financial management, reimbursement, and general healthcare billing.
  • Ability to understand and effectively complete report creation, audit techniques, spreadsheet presentations.
  • Ability to convince others and persuade to timely action based on regulations, risk exposure level, compliance deficiencies, and audit findings.
  • Ability to establish and maintain effective working relationships as required by the duties of the position.
  • Working knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority.
  • Working knowledge of medical terminology and health care nomenclature, systems, HIM coding, and general billing/reimbursement practices.
  • Ability to convey technical information effectively in verbal and written communications, and in group/business presentations.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency, including Excel.
Education/Experience

Include minimum education, technical training, and/or experience preferred to perform the job.

  • Entry Level:
    • Experience Preferred
    • High School graduate or equivalent required
    • College degree preferred
    • Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, COC, CPC, CCS highly desirable
Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

  • Must be able to work in a sitting position, use a computer, and answer a telephone.
  • Ability to travel, including walking through hospital-based departments across broad campus settings, including Emergency Department environments.
Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

  • Office Work Environment
  • Hospital Work Environment

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.

We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare.

Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience, and improve quality, cost, and access to healthcare.

Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step

Compensation and Benefit Information

Compensation: $20.51-$30.77 per hour. Compensation depends on location, qualifications, and experience.

Position may be eligible for a signing bonus for qualified new hires, subject to employment status.

Conifer observed holidays receive time and a half.

Benefits:

  • Medical, dental, vision, disability, and life insurance
  • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
  • 401k with up to 6% employer match
  • 10 paid holidays per year
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.

Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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