Inside Higher Ed · 1 week ago
Revenue Integrity Auditor
Columbus, OH
Full-time
Onsite
Entry, Mid Level
2+ years expInside Higher Ed is associated with The Ohio State University, which is seeking a Revenue Integrity Auditor to ensure the overall integrity of the Charge Description Master (CDM) and compliance with regulatory requirements. The role involves auditing charge processes, maintaining knowledge of regulatory guidelines, and developing staff training materials to ensure accurate charge processes are implemented and maintained.
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Responsibilities
Work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements
Process accounts and charges via Work Queues within Epic to ensure accounts/charges move through the system timely to aid in cash flow
Provide support and services to Revenue Cycle, Financial Services, Information Technology Systems, Medical Information Management, and all clinical departments
Audit charge processes and procedures throughout the organization to maintain charge integrity in compliance with CMS and other regulatory agencies
Maintain current knowledge of the various regulatory agency guidelines and assure requirements are met along with accurate, complete and timely charge processes
Audit current charge processes and, as needed, identify correct charge processes
Assist in developing staff training materials to assure accurate charge processes are implemented and maintained
Monitor, analyze, and facilitate the entry of service and supply fees into various information systems
Ensure that charge capture applications are accurate and compliance standards are maintained
Work with all cost centers and OSUP representatives to ensure the timeliness and accuracy of charge capture accuracy
Research, implement, and audit the use of tools such as Epic’s charge router, facility charge calculator and charge by documentation
Qualification
Required
Bachelor degree in Business, HIM, or related field, or equivalent combination of experience and education
Required License/Registration/Certification: RHIA, RHIT, CCS and/or COC credentials
Certification Requirement: Must obtain EPIC Resolute Hospital Billing Charging certification within the first 6 months of employment. Support and resources will be provided to assist in achieving this requirement
Minimum of two years of hospital clinical coding experience required; understand and interpret medical records, hospital bills, and the charge master
Proficiency in hospital and clinical record information systems and inpatient and outpatient coding methodologies
Knowledge and understanding of insurance terms (i.e. EOB, Stop Loss, etc.) and reimbursement methodologies
Understanding of revenue cycle functions, management and reporting in health care, and an overall operational knowledge of how those functions and activities of hospitals and medical clinics impact reporting
Foster a collaborative and team focused working environment
Company
Inside Higher Ed
Inside Higher Ed is the online source for news, opinion, and jobs related to higher education.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2022-01-10Acquired
2006-08-31Series Unknown
Leadership Team
Stephanie Shweiki
Director, Foundation Partnerships
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