Senior Revenue Integrity Specialist – Clinical Revenue Integrity

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🕒 June 5

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Logo of Working at USC

Working at USC

10,000+ employees

Founded 1880

The University of Southern California (USC) is a leading private research university located in Los Angeles – a global center for arts, technology and international business. As the city’s largest private employer, responsible for more than $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic schools and units.

📋 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

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