Revenue Integrity Coding Specialist
Revenue Integrity Coding Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
General Summary
Under general supervision this position will review and resolve National Correct Coding Initiative Outpatient Claim Editor and Medically Unlikely Edits related to facility charge capture and coding for the purpose of appropriate reimbursement research and compliance with federal and state regulations according to established ICD10 diagnosis coding and CPT4 procedure coding classification systems.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Knowledge of CPT HCPCS and revenue codes for accuracy and compliance with all state and federal guidelines.
- Responsible for reviewing and resolving charge capture coding and revenue integrity check workqueues in Epic.
- Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff and clinical documentation specialists as needed.
- Communicates with various departments within the hospitals regarding billing and charge capture issues. Refers any problems to management timely providing clear details.
- Responsible for making independent decisions regarding charge adjustments and other charge resolution techniques.
- Advises management of possible billing problems.
- Complete all tasks in a timely manner with accurate documentation.
Qualifications :
Education and Experience
- Associates or Bachelors degree is preferred.
- AAPC or AHIMA certification is required.
- Two years minimum experience working hospital coding related edits.
- EPIC EMR experience in preferred.
Knowledge Skills and Abilities
- Concern for quality and ability to identify errors and implement corrections.
- Ability to interpret and implement regulatory standards.
- Serves as a resource to others in the resolution of problems and issues.
- Effective customer service skills with the ability to work with all levels within the organization.
- Excellent organization skills demonstrates confidence and creativity.
- Strong time management skills and keen attention to detail.
- Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
- Good interpersonal relationship skills.
- Selfmotivated detail oriented problem solver.
- Knowledge and ability to learn and understand HSCRC/CMS regulations CPT (Current Procedural Terminology) and ICD10 coding.
- Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel MS Word and PowerPoint. MS Access SAS & Tableau is preferred.
- Ability to handle confidential issues with integrity and discretion.
- Ability to prioritize and manage work in a stressful environment.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $27.44$38.41
Other Compensation (if applicable):
Like many employers UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details personal identification or payment via email or text. If you suspect fraud please contact us at
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
Company Industry
Key Skills
- ASC 606
- Hotel Experience
- Hospitality Experience
- GAAP
- Accounting
- Revenue Management
- Pricing
- Analysis Skills
- Salesforce
- SOX
- ERP Systems
- NetSuite
