Job #1299909

QUALIFICATIONS

• Bachelor's degree from an accredited institution (required)
• EPIC EMR system experience (required)

POSITION SUMMARY

This position is responsible for the daily management and direction of the Revenue Integrity Coordinators under the oversight of the Regional CFO and VP, Revenue Cycle. This team will perform audits and reviews of departmental charge capture and reconciliation, denials management for all facilities in the region, daily reporting and coordinated work on unbilled/DNFB, departmental education on the aforementioned functions, and the identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle departments and hospital operations, in order to enhance revenue potential. This role interfaces with regional and corporate leadership, PFS staff, hospital FFOs, and department leadership and associates on a regular basis. to ensure audits are done in a timely and effective manner.

RESPONSIBILITIES

• Oversee staff to ensure regional revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of charge master.
• Perform revenue integrity audits for departments.
• Provide support to departments to assist with appropriate charge capture and reconciliation.
• Assure reports are run as scheduled, reports are distributed, and report inquiries are handled. Reports include Unbilled claims, B/AR rejections, PFS Agency, and Denials Recap details/summary.
• Maintain the Charge Master in a manner that is compliant with insurance requirements and government regulations.
• Lead regional denials management team(s), in order to analyze claims' denials and implement correction action plans.
• Collaborate with PFS on denials' reviews.
• Communicate regularly with dept. directors and respond promptly to inquiries, concerns and problems as pertains to the Charge Master.
• Communicates with all dept. directors as new regulations and/or operational changes occur.
• Maintain a positive dialogue and collaborative working environment.

NOTE: Hourly pay rate is dependent upon experience.

Job Types: Full-time, Contract

Pay: From $40.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Application Question(s):

• What EMR/EHR systems have you worked with?
• Do you have work history gaps of more than 30 days? If yes, please provide dates and explanations.
• Please list any professional certifications you hold.
• What is your COVID-19 vaccination status? If not vaccinated, do you have a medical or religious exemption?

Education:

• Bachelor's (Required)

Experience:

• EPIC: 1 year (Preferred)

Work Location: Remote

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