Senior Revenue Integrity Specialist – Clinical Rev Integrity

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🏄 California – Remote

🏄 California – Remote

💵 $99.5k - $164.6k / year

⏰ Full Time

🟠 Senior

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USC Race and Equity Center

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2017

📚 Education

🌍 Social Impact

🤝 Non-profit

Education • Social Impact • Non-profit

USC Race and Equity Center is an initiative focused on promoting inclusivity, equity, and social justice within the University of Southern California community and beyond. It addresses issues related to race and equity by providing resources, support, and guidance to faculty, staff, and students, especially in the context of events impacting diverse communities, such as the LA wildfires. The center aims to foster a more inclusive academic environment and supports the development of educational programs and outreach initiatives that raise awareness and understanding of equity in society.

📋 Description

• Provide leadership to the daily CDM maintenance workflow • Monitor the alignment of various entities to standard policy for maintaining the CDM • Ensure timely and accurate synchronization of data between the CDM and management tools • Deliver direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process • Conduct meetings to evaluate department charge processes for improvement • Coordinate with administration, IS, Compliance, Clinical Informatics, and Integration personnel on technology projects impacting charge entry and procedures • Provide data derived from multiple entities for critical decisions regarding the Chargemaster and CDM Maintenance • Respond to inquiries regarding Chargemaster issues and supervise education initiatives regarding the CDM Maintenance process

🎯 Requirements

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

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Professional development opportunities