Current jobs related to Revenue Integrity Specialist - Helena Montana, Lewis and Clark County, MT - The Staff Pad

  • Patient Access Specialist

    5 months ago

    Helena, Montana, 59604, Lewis and Clark County, MT, United States The Staff Pad Full time

    The Staff Pad is honored to partner with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana. As a Patient Access Specialist (PAS), you will provide exceptional customer service and ensure seamless access to medical services. You will work closely with patients,...

  • Data Integration Specialist

    1 month ago

    Helena, Montana, United States Amentum Full time

    Job Title: Data Integration EngineerAmentum is seeking a highly skilled Data Integration Engineer to join our team. As a Data Integration Engineer, you will be responsible for designing, developing, and implementing enterprise data integration and pipeline architectures to facilitate the collection, storage, and management of data for various analytical,...

  • Data Integration Specialist

    3 weeks ago

    Helena, Montana, United States Amentum Full time

    Amentum is seeking a skilled Data Integration EngineerAmentum is a dynamic and innovative company that requires a highly motivated and driven Data Integration Engineer to join our team. This is a remote-telework role that requires US Citizenship.Key Responsibilities:Design, develop, and implement enterprise data integration architectures to facilitate data...

  • Hotel Accounting Specialist

    2 months ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our hotel's financial operations. Your responsibilities will include: * Auditing and reconciling all financial transactions, including cash and...

  • Hotel Accounting Specialist

    2 months ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our financial operations. Your responsibilities will include: * Auditing and balancing all aspects of hotel accounting, including front desk,...

  • Hotel Accounting Specialist

    2 months ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our financial operations. Your responsibilities will include: * Auditing and balancing all aspects of hotel accounting, including front desk,...

  • Hotel Accounting Specialist

    1 month ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our hotel's financial operations. Your responsibilities will include: * Auditing and balancing all aspects of hotel accounting, including front...

  • Hotel Accounting Specialist

    1 month ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our financial operations. Your responsibilities will include: * Auditing and reconciling all aspects of hotel accounting, including front desk,...

  • Hotel Accounting Specialist

    2 months ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our hotel's financial operations. Your responsibilities will include: * Auditing and reconciling all financial transactions, including cash and...

  • Hotel Accounting Specialist

    2 months ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our financial operations. Your responsibilities will include: * Auditing and reconciling hotel accounting records to ensure compliance with...

  • Hotel Accounting Specialist

    1 month ago

    Helena, Montana, United States Hyatt Hotels Full time

    Hyatt Hotels is a global leader in hospitality, and we're passionate about creating a workplace where everyone can thrive. As a Night Auditor, you'll play a critical role in ensuring the accuracy and integrity of our hotel's financial operations. Your responsibilities will include: * Auditing and reconciling all financial transactions, including cash and...

  • Data Integrity Specialist

    1 month ago

    Helena, Montana, United States El Paso Children's Hospital Full time

    Job SummaryWe are seeking a highly qualified Anatomy and Physiology Instructor to join our team at Helena College University of Montana. As a key member of our faculty, you will be responsible for teaching Anatomy and Physiology to Massage Therapy students.Key ResponsibilitiesInstruct massage therapy students using a comprehensive curriculum provided by...

  • Nurse Specialist

    2 weeks ago

    Helena, Montana, United States Della Infotech Full time

    We are seeking a skilled Nurse Specialist to join our team at Della Infotech. This is a 4-month contract opportunity in our busy outpatient infusion center.The ideal candidate will have experience in ONS Chemotherapy Biotherapy and a preference for OCN certification. Our comprehensive and integrative cancer center provides coordinated care for ambulatory...

  • Multimodal Imaging Specialist

    2 weeks ago

    Helena, Montana, United States Adventist Health Full time

    Job Title: Multimodal Imaging SpecialistAdventist Health is seeking a skilled Multimodal Imaging Specialist to join our team. As a key member of our imaging services team, you will be responsible for operating computed tomography (CT) equipment to produce high-quality images for diagnostic purposes.Key Responsibilities:Assess, plan, implement, and evaluate...

  • Senior Vice President of Global Growth Marketing

    2 weeks ago

    Montana, United States Blackbaud Full time

    Job Title: SVP, Head of Global Growth MarketingAs a visionary and hands-on marketing leader, you will be responsible for building predictable and repeatable processes to generate quality pipeline across our complex, global product portfolios.Key Responsibilities:Drive transformative change within the GTM strategy for increased ROI and budget...

  • Computed Tomography Specialist

    4 weeks ago

    Helena, Montana, United States Adventist Health Full time

    Job Title: Computed Tomography SpecialistAdventist Health is seeking a skilled Computed Tomography Specialist to join our team. As a key member of our imaging services team, you will be responsible for operating computed tomography (CT) equipment to produce high-quality images of patients' bones, organs, and tissue.Key Responsibilities:Assess, plan,...

  • Marketing Operations Specialist

    1 week ago

    Helena, Montana, United States System One Full time

    Job Title: Marketing Operations SpecialistJob Summary:We are seeking a highly skilled Marketing Operations Specialist to join our team at System One. As a Marketing Operations Specialist, you will be responsible for managing and optimizing our Marketo platform, including implementing and maintaining programmatic and operational initiatives, enhancing our...

  • American Sign Language Specialist for School Services

    6 days ago

    Montana, United States Staff Today Inc Full time

    Staff Today Inc is seeking a highly skilled American Sign Language Specialist to join their team in providing exceptional services to educational institutions. The ideal candidate will possess expertise in American Sign Language and a strong passion for working with students and staff in school settings.Job DetailsSpecialty: American Sign LanguageDiscipline:...

  • PC Migration Specialist

    4 weeks ago

    Helena, Montana, United States A3 Staffing Solutions Full time

    Job Title: PC Migration SpecialistWe are seeking a skilled PC Migration Specialist to join our team at A3 Staffing Solutions.Job Summary:The PC Migration Specialist will be responsible for supporting Windows OS/Microsoft Office Suite in an enterprise environment with direct interactions with the end user.Key Responsibilities:Maintain, analyze, troubleshoot,...

  • Diagnostic Imaging Specialist

    4 weeks ago

    Helena, Montana, United States Stability Direct Full time

    Job Title: Diagnostic Imaging SpecialistStability Direct is seeking a skilled Diagnostic Imaging Specialist to join our team in Saint Helena, California.Job Summary:As a Diagnostic Imaging Specialist, you will be responsible for performing ultrasonic diagnostic procedures in accordance with accepted protocols as directed by physicians. You will produce...

  • Data Governance Specialist

    1 month ago

    Helena, Montana, United States State of Montana Full time

    Job Overview:The Data Governance Specialist will play a critical role in ensuring the State of Montana has access to secure and effective information. This position will involve collaborating with Data and IT teams to support the day-to-day operation and integrity of relevant systems, ensuring that all systems adhere to relevant standards and policies. The...

Revenue Integrity Specialist

2 months ago

Helena Montana, Lewis and Clark County, MT, United States The Staff Pad Full time
Job Description

This position is responsible for maintaining the integrity of the revenue capture system across the revenue generating departments of the hospital. Specifically, the focus of this position is to maximize collections through:

  1. the accurate and complete capture of all charges;
  2. the establishment of the appropriate charge structure and charge rates consistent with industry standards, local market conditions and contracts;
  3. the maintenance of charge structure and charge master;
  4. the education of revenue-generating department leadership and directors as to their roles and responsibilities as they relate to revenue capture.

Lastly, this position supports the corporate compliance program by verifying adherence to charge posting policies and procedures by ensuring that the charge master is in compliance with all applicable regulatory guidelines. This position oversees staff members as part of the revenue integrity team.

Responsibilities

The primary responsibility of this position will be to:

  1. Ensuring the accuracy and integrity of the revenue capture system across revenue generating departments. In this effort, coordinator will:
    1. Manage charge audit system to identify, resolve, and prevent missed charging opportunities
    2. Regularly reconcile charges with clinical documentation to ensure that documentation is complete and charges are capture appropriately
    3. Work with department leadership to develop and implement policies and procedures for purposes of reconciling charges posted in the billing system with other measures and sources of information;
    4. Identify opportunities for charge capture improvement through the implementation routine and random audits;
    5. Consults with department leaders to help develop and implement policies and procedures for the purposes of reconciling charges posted in the billing system with other source information
  2. Developing, maintaining and enhancing charge master. Specifically, the Coordinator will:
    1. Review the charge structure of revenue generating departments to assure that charges accurately reflect services and supplies provided and are structured consistent with current industry accepted practices;
    2. Maximizes collections through recognition of terms and conditions of payor contracting
    3. Make recommendations to financial leadership regarding terms and conditions and charge increases with consideration of improving payments from third party payors.
  3. Oversees maintenance and enhancement of charge master by:
    1. Reviewing and approving changes in pricing, CPT codes, HCPCS codes and Revenue codes for accuracy and compliance to all applicable billing guidelines and optimization of reimbursement;
    2. Acting as a resource to revenue generating departments in establishing new charges using appropriate procedure codes;
    3. Determining the reimbursement impact of CPT revisions as well as charge additions and deletions.
  4. Maintains currency in regulatory issues that affect billing and compliance and educates directors and managers regarding potential changes in coding and billing regulations:
    1. Maintains currency with all regulatory issues affecting billing, reimbursement and compliance;
    2. Trains leadership of revenue generating departments in the management of their respective section of the charge master;
    3. Ensure coordination between HIM and the charge master
Qualifications

KNOWLEDGE/EXPERIENCE:

  • Three to five years’ experience in hospital charge capture review, medical record review, and claims auditing, and in working with regulatory and policy compliance issues related to federal and state programs
  • Coding experience is a plus
  • Clinical review experience is a plus
  • Extensive knowledge of current healthcare trends, policies, and regulations
  • Understanding of coding classification systems, such as ICD-10-CM, ICD-9-CM, MS-DRG, APR-DRG, and HCC strongly preferred
  • Competency in developing efficient and effective solutions to complex business challenges
  • Ability to influence key stakeholders at various organizational levels

EDUCATION: BS, BA, AA from an accredited school or equivalent work experience

LICENSE/CERTIFICATION/REGISTRY: N/A



PandoLogic. Category:Healthcare, Keywords:Healthcare Revenue Integrity Specialist, Location:Helena, MT-59604