Rev Integrity Audit Coord-23066 jobs in United States
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Rush University Medical Center ยท 3 hours ago

Rev Integrity Audit Coord-23066

Rush University Medical Center is a leading healthcare institution, and they are seeking a Revenue Integrity Audit Coordinator. This role is responsible for managing audit requests, ensuring timely processing, and providing professional support to the Revenue Integrity department while developing processes for accurate medical records requests.

Clinical TrialsEducationHealth CareMedicalTraining
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H1B Sponsor Likelynote

Responsibilities

Use logic-based critical thinking and decision-making to accurately enter incoming audits into the tracking tool
Create and track medical records requests for on-time delivery related to audits
Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
Work with external vendors for all functions related to the timely review of audits and documentation along with appeal determination results
Log audit correspondence in Epic and maintain updates throughout all stages of the audit using accurate data techniques along with Epic reporting
Identify trends, analyze to propose, and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding audits and denials
Serves as subject matter expert for fellow team members to review questions and assist with resolving issues related to audits and audit deadlines
Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards
Research all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement related to audits and audit prevention
Provides input and implements process improvement initiatives recognizing efficiency, prevention of audits, and revenue enhancement including how to harness technology and automation to optimize efficiency
Monitor and work accounts in Epic work queues
Communicate, observe, and report on charge entry trends and patterns and provides recommendations for improvement
Engage in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned

Qualification

Epic EHRMedical terminologyMedical billing languageAAPCAHIMA certificationHealthcare experienceMS Office SuiteOrganizational skillsCritical thinkingCommunication skillsProblem-solving

Required

Associates degree or extensive years of related work experience for competency
Minimum 5 years of healthcare experience working with billing, audits, denials, charge entry, charge capture, or CDM
Proficient and functional knowledge of hospital and professional charges in the Epic EHR
Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers
High-level of organization, independence, and critical thinking
Excellent written and oral communication skills along with problem-solving
Proficiency with MS Office Suite
High degree of accuracy and ability to collaborate with others

Preferred

AAPC or AHIMA certification

Company

Rush University Medical Center

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Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.

H1B Sponsorship

Rush University Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (85)
2023 (64)
2022 (81)
2021 (65)
2020 (66)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Parkinson's Foundation
2023-07-25Grant

Leadership Team

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Richa Gupta
Chief Operating Officer, Rush University Medical Group
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Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
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Company data provided by crunchbase