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UofL Health · 1 day ago

ED Revenue Integrity Specialist II, Remote

United States

Full-time

Remote

Mid Level

3+ years exp

UofL Health is a healthcare organization seeking an ED Revenue Integrity Specialist II to perform daily revenue integrity audits and charge reconciliation for the Emergency Department. The role involves monitoring patient documentation, processing charges, and collaborating with hospital staff to ensure accurate charge capture and billing compliance.

Health CareHospitalmHealthPrimary and Urgent CarePsychology

Responsibilities

Timely review and capture of emergency department (ED) facility level charges using points tool

Maintain productivity standards by ensuring that ED charge capture remains current or entered within 3 days of patient discharge

Maintain overall financial viability for UMC Revenue Cycle through collaboration and effective communication with ED care providers and leaders as well as coding, billing, and other charge entry staff

Collaborate with care providers to resolve missing documentation needed to accurately capture ED charges

Perform other duties as assigned or required

Assign the appropriate ED facility E/M level, procedure, injection/infusion and administration charges for hospital services in accordance with CMS Official Coding Guidelines for Coding and Reporting

Assign appropriate modifiers with ICD-10-CM, CPT and HCPCS Level II codes

Research and resolve billing and coding issues for ED pre-bill edits to ensure timely filing of clean claims and overall reduction of discharge, not final bill (DNFB) status

Maintain productivity standards by working to resolve outstanding ED-related pre-bill edits timely

Assists with education of clinical service line regarding coding and billing

Attend required continuing education workshops, webinars, etc., for coding/billing compliance

Gather and report trends and/or findings regarding billing errors to appropriate revenue cycle leadership

Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times

Adheres to and exhibits our core values: Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality

Maintains confidentiality and protects sensitive data at all times

Adheres to organizational and department specific safety standards and guidelines

Works collaboratively and supports efforts of team members

Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

Qualification

Certified Coding CredentialsEmergency Department CodingCharge ReconciliationElectronic Medical Record (EMR)Billing SystemsMedical TerminologyAnatomyPhysiologyMicrosoft OfficeCritical ThinkingEffective Communication

Required

Minimum high school education or GED required

ED Revenue Integrity Specialist II requires the upkeep of one of the following nationally accepted Certified Coding Credentials (I.e., RHIT, RHIA, CPC, CPC-H, CCA, CCS, or CCS-P)

Minimum 1 year of experience in acute healthcare setting working with charge entry, charge description master (CDM), and/or healthcare billing is required

Ability to maintain confidentiality of sensitive information required

ED Revenue Integrity Specialist II requires 3 years of prior outpatient coding (preferably ED coding), ED technician, or ED clinical nursing experience in addition to the certified coding credential