Senior Revenue Integrity Specialist – Clinical Revenue Integrity

Job not on LinkedIn

🕒 June 5

🏄 California – Remote

🏄 California – Remote

💵 $95.7k - $158.2k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 28%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Working at USC

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1880

📚 Education

🏥 Healthcare

🤝 Non-profit

Education • Healthcare • Non-profit

Working at USC is a platform for prospective candidates associated with the University of Southern California (USC), a leading private research university based in Los Angeles. As the largest private employer in the city, USC generates over $8 billion annually in economic impact and provides a dynamic and diverse work environment with opportunities across various academic disciplines. The page aims to keep candidates informed about job opportunities, campus events, and benefits related to employment at USC.

📋 Description

• Provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC. • Monitors the alignment of the various entities to the standard policy for maintaining the CDM. • Ensures that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. • Conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. • Coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge. • Provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related to the Chargemaster, CDM Maintenance, and improvement of charge capture. • Acts as subject matter expert in the area of compliance and pricing of services.

🎯 Requirements

• Req Associate’s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field. • Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. • Req 5 years Experience in healthcare field required. • Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. • Req Knowledge of other government and third-party payer reimbursement methodology required. • Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan • Req Proficient skills and knowledge in MS Office/ Windows.

🏖️ Benefits

• Excellent benefits and perks • Opportunity to work in a dynamic and diverse environment • Competitive salary • Work in careers that span a broad spectrum of talents and skills