Revenue Cycle Integrity Specialist

Revenue Cycle Integrity Specialist

Would you like the opportunity to get your foot in the door with one of the most reputable Hospital Networks based here in the Cincinnati area? Don't miss your chance and apply now!

**Remote- Must live in IN, KY, OH**

What you will be doing as the Revenue Cycle Integrity Specialist:

• Performs detailed and focused charge audits on inpatient and outpatient accounts.
• These can include defense, prebill, and cpt/charge code line item audits.
• Evaluates the appropriateness of services and procedures charged based on supporting documentation and evaluates the appropriateness of ICD, CPT, and HCPCS codes.
• Reviews audit results with management and staff and considers feedback from the internal/external customers as appropriate.
• Tracks, reports, and effectively communicates audit findings including reimbursement and compliance information.
• Enters and maintains charge audit results data.
• Present audit findings and assist in the development of constructive recommendations/education to clinical departments.
• Partner with Internal Audit to perform charge related audits in their annual audit program.
• Works with revenue producing clinical department managers to develop and provide educational sessions for staff concerning issues identified through the auditing process.
• Responsible for reducing Accounts Receivable on Unbilled Accounts by working charge related errors.
• Research and resolve a variety of issues relating to charge capture. Edit claims (DNB, Claim Edits, and Stop Bills) within scope of authority to meet and satisfy timely billing.

What you will need as the Revenue Cycle Integrity Specialist:

· Bachelors Degree required or equivalent experience will be considered in lieu of a degree.

• 1 - 2 Years equivalent experience - Required
• EPIC experience required
• Hospital Billing, revenue cycle, and ability to read a chart required
• Must be able to work out of a que environment
• CPT/HCPCS exposure preferred but not required
• Ability to work in a fast paced environment