Senior Revenue Integrity Specialist – Clinical Revenue Integrity

Job not on LinkedIn

🕒 June 5

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Logo of USC Race and Equity Center

USC Race and Equity Center

11 - 50 employees

Founded 2017

💼 Consulting

📚 Education

🌍 Social Impact

Consulting • Education • Social Impact

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 alignment of various entities to standard policy for maintaining the CDM • Ensure timely and accurate synchronization of data between the CDM and management tools • Conduct meetings to evaluate department charge processes to improve charge capture and coding compliance • Coordinate with various departments on technology projects impacting charge entry • Provide data for management and support of critical decisions related to Chargemaster and CDM Maintenance • Respond to inquiries regarding Chargemaster issues and supervise education for clinical revenue generating staff • Work closely with revenue auditors on research and resolution of requests • Perform maintenance to the Keck Medical Center of USC Charge Description Master

🎯 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 the healthcare field • Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology • Knowledge of government and third-party payer reimbursement methodology • Proficient skills and knowledge in MS Office/ Windows

🏖️ Benefits

• Health insurance • 401(k) • Flexible working hours • Paid time off • Professional development opportunities • Reasonable accommodations for applicants and employees with disabilities

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