Inova Health · 9 hours ago
Billing Integrity Liaison
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Responsibilities
Acts as a billing compliance resource for Single Billing Office (SBO), Revenue Integrity, Compliance, Physician Group, Hospital Outpatient Provider-Based Departments (HOPD) leaders and others as directed, using all the resources necessary to research and provide a compliant answer to all questions. Situations may include but are not limited to: charging guidelines; billing guidelines, and/or appropriate use of CPT, HCPCS, Revenue Codes, Modifiers.
Collaborates with SBO, Revenue Integrity, Compliance, HOPD and other leaders on opening new or making changes to an existing hospital department to include the Epic IT initial build or changes to existing build, adding new services, location changes, etc., as directed.
Collaborate with SBO, Revenue Integrity, Compliance, Professional Group and other leaders on opening new freestanding facilities/clinics to include the Epic IT initial build or changes for new groups, new services, location changes, etc., as directed.
Research recurrent denials as directed and collaborate with the Revenue Integrity, SBO, Compliance, Physician Group, HOPD and other leaders to resolve.
Attend and participate in meetings that pertain to your job duties. May be asked to facilitate or act as scribe and report meeting details to participants.
May perform additional duties as assigned
Qualification
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Required
5 years of health care billing/charge roles
Bachelor’s degree or 4 additional years of applicable experience
Company
Inova Health
Inova is Northern Virginia’s leading nonprofit healthcare provider, offering world-class clinical excellence to everyone in our communities with a warm, human touch.