Revenue Integrity Auditor & Educator jobs in United States
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UT Southwestern Medical Center · 2 months ago

Revenue Integrity Auditor & Educator

UT Southwestern Medical Center is a world-renowned medical and research center in Dallas-Fort Worth, Texas, committed to excellence and innovation. The Revenue Integrity Auditor & Educator position involves developing and conducting presentations on coding, billing, and compliance topics, while providing education and support to new providers and ensuring adherence to regulations and optimal reimbursement practices.

Clinical TrialsHealth CareHospitalMedicalNon ProfitOncologyOutpatient Care
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H1B Sponsor Likelynote

Responsibilities

Develop and conduct individual or group presentations on coding, billing, and compliance topics
Research coding, documentation and reimbursement inquiries submitted by physicians, clinical departments, or revenue cycle management to ensure compliance with specific payer and/or government regulations and optimum reimbursement
Prepare timely responses based on research outcome
Conduct quality assurance reviews to ensure coding and billing practices are accurate, compliant with regulations, and aligned with university policies and Revenue Cycle Management guidelines
Conduct standardized education for new providers (physicians, advanced practice providers, and other professional practitioners) for Internal Medicine, Pediatrics, Emergency Medicine, Radiology, PM&, R, Neurology, Psychiatry
Perform pre-bill reviews of professional charges and follow up with new providers to ensure accurate coding and documentation practices
Perform post-onboarding pre-bill review of professional charges and follow-up with new providers to confirm understanding documentation requirements to promote billing compliance
Develop and conduct individual or group physician education presentations on coding, billing compliance guidelines, audit findings or internal reporting
Develop comprehensive content for presentations, including key concepts, regulations, case studies and practical examples
Conduct documentation and billing compliance reviews to assess the adequacy of medical record documentation and appropriate use of procedure, modifier, and diagnosis codes
Summarize audit outcomes and provide education as needed

Qualification

CodingBilling ComplianceAuditingRevenue Cycle ManagementCPC CertificationPresentation SkillsCommunication Skills

Required

High School Diploma Or equivalent
5 years of experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilities
CERT PROFESSIONAL CODER
CERT CODING SPECIALIST
CERT MEDICAL CODER

Preferred

Associate's Degree or Two years of college is desired
Cert Prof Medical Auditor Upon Hire

Benefits

PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer

Company

UT Southwestern Medical Center

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UT Southwestern Medical Center offers clinical care, education, and scientific research.

H1B Sponsorship

UT Southwestern 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 (358)
2024 (238)
2023 (266)
2022 (274)
2021 (213)
2020 (179)

Funding

Current Stage
Late Stage
Total Funding
$22M
Key Investors
The Dallas FoundationPatient-Centered Outcomes Research Institute
2023-06-20Grant
2023-04-20Grant· $4M
2023-03-28Grant· $18M

Leadership Team

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Chris Rubio
Interim Chief Executive Officer, Clements University Hospital
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Dennis Pfeifer
AVP & CTO University Health System
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Company data provided by crunchbase