Specialist, Charge Revenue Integrity

🕒 il y a 19 jours

🚗 Michigan – Distant

🚗 Michigan – Remote

💵 $25 - $37 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 10%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Configurer une alerte email pour les nouveaux emplois

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Trinity Health

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

📚 Éducation

🤝 À but non lucratif

Healthcare • Education • Non-profit

Trinity Health est l'un des plus grands systèmes de santé catholiques à but non lucratif du pays. Il rassemble 123 000 collègues et près de 27 000 médecins et cliniciens qui prennent soin de diverses communautés à travers 26 États. Reconnue à l'échelle nationale pour ses soins et son expérience, le système Trinity Health comprend 88 hôpitaux, 135 lieux de soins continus, le deuxième plus grand programme PACE du pays, 136 lieux de soins d'urgence ainsi que de nombreux autres services de santé et de bien-être. Basée à Livonia, Michigan, son chiffre d'affaires annuel s'élève à 21,5 milliards de dollars avec 1,4 milliard de dollars réinvestis dans ses communautés sous forme de soins de charité et d'autres programmes d'aide communautaire.

Description

• Research, collect, and analyze information • Identify opportunities, develop solutions, and lead through resolution • Collaborate on performance improvement activities based on program efficiency and patient experience outcomes • Distribute analytical reports • Utilize multiple system applications to perform analysis, create reports, and develop educational materials • Research and compile information to support ad-hoc operational projects and initiatives • Synthesize and analyze data, provide detailed summaries and graphical presentations illustrating trends, and recommend practical options or solutions • Leverage program and operational data and measurements to define and demonstrate progress, ROI, and impacts • Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on accurate documentation and appropriate coding • Perform charge capture in assigned Revenue Integrity areas • Thoroughly review charts, including nursing notes, physician orders, progress notes, and surgical or specialty notes, to interpret, validate, and/or extract charges • Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers • Review documentation, abstract data, and ensure charges/coding align with AMA and Medicare coding guidelines • Perform coding functions including CPT and ICD-10 assignment, documentation review, and claim denial review • Work pre-bill edits including OCE/CCI and DNFB within key metrics • Provide at-elbow support to ancillary departments, ensuring appropriate supply and implant charges, identifying duplicate charges, and addressing documentation or charge deficiencies/errors • Perform charge entry, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation • Provide feedback to Revenue Integrity colleagues on improvement opportunities • Code and/or validate charges for complex service lines, including advanced surgical or specialty coding • Educate clinical staff on accurate and complete documentation to optimize revenue integrity

🎯 Exigences

• Associate’s degree in healthcare, business administration, finance, accounting, or related field, or equivalent experience considered in lieu of degree • RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credentials required • Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment • Experience in revenue cycle, billing, coding, and/or patient financial services • Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes, and modifiers), charging processes and audits, and clinical billing • Working knowledge of third-party payer rules and requirements, computer operations, and electronic interfaces related to charge documentation, capture, and billing • Knowledge of charge capture, reconciliation, error management operations, and overall revenue cycle operations • Knowledge of APC, OPPS reimbursement structures, and prebill edits including OCE/CCI edits and DNFB • Knowledge of clinical documentation improvement processes strongly preferred • CDC healthcare compliance certification preferred • CHRI certification/membership strongly preferred • Ability to use computers and other technology • Ability to lift a maximum of 30 pounds unassisted occasionally • Ability to maintain a safe working environment and use available PPE • Ability to provide assistance in an emergency occasionally

🏖️ Avantages

• Remote work position • Equal Opportunity Employer commitment