Revenue Integrity Specialist

🔥 1 minute ago

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟢 Junior

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Assists in daily resolution of work queue/edits that are holding patient claims from billing by reviewing applicable documentation. • Identifies, reports, with escalation as needed, and participates in the resolution of any potential or actual revenue/charge related issues. • Identifies areas of common practice and implements opportunities for standardization. • Monitors EPIC Revenue Integrity Dashboard(s) in collaboration with ministry liaisons to manage and report out weekly for leadership/colleagues. • Responds to departmental charging inquiries. • Provides support for assigned ministries in collaboration with Revenue Integrity Analysts. • Works with coding and other clinical departments to identify/fix errors based on ICD/CPT coding guidelines and National Correct Coding Initiative (NCCI) edits. • Contributes to improvement initiatives as directed by department leaders, focusing on WQ accuracy of rules, naming conventions and assignments, and KPIs for performance as assigned.

🎯 Requirements

• Ideal candidate has experience with healthcare revenue cycle, billing and coding, Epic, and has a strong attention to detail. • One year experience within a hospital organization or physician practice environment. • Associate’s degree or equivalent combination of education and experience.

🏖️ Benefits

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.