Coordinator-Revenue Integrity jobs in United States
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Loma Linda University Health · 2 months ago

Coordinator-Revenue Integrity

Loma Linda University Health is a faith-based Christian institution committed to teaching and healing. The Coordinator-Revenue Integrity is responsible for managing billing work queues, understanding billing processes, and ensuring compliance with Medicare regulations and research billing requirements.

EducationHealth CareHospitalMedical

Responsibilities

Managing multiple billing work queues (WQs)
Understanding basic billing processes
Knowledge of research billing requirements
Knowledge of Medicare rules and regulations
Knowledge of Recovery Audit Contractor (RAC) processes
Knowledge of billable components pertinent to LLUH Client agreements
Proficient knowledge of charge master components (CPT codes, HCPC’s, Revenue codes, Cost Centers)
Performing other duties as needed

Qualification

Research billing knowledgeCPT/HCPCS knowledgeRegulatory guidelines interpretationHospital billing knowledgeCharge capture knowledgeCritical thinkingDetail-orientedCommunication skillsProblem solving

Required

Minimum three years of researching billing and coding experience in a Patient Business Office required
Proficient knowledge of charge master components (CPT codes, HCPC's, Revenue codes, Cost Centers) required
Working knowledge of modern office practices and procedures and business terminology required
Knowledge of interpreting regulatory guidelines, requirements, and familiarity with research/clinical trial billing
Knowledge of CPT/HCPCS and revenue codes, hospital billing, reimbursement/payment policies, charge capture and medical terminology
Able to research and interpret regulatory laws and guidance
Confident and able to present complex information to front-line, mid-level, and executive staff
Ability to think critically, manage multiple assignments effectively, organize and prioritize workload, work well under pressure, recall information with accuracy, pay close attention to detail
Able to read; write legibly; speak in English with professional quality; use computer and software programs necessary to the position
Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction
Works independently with minimal supervision; perform basic math functions; and problem solve
Able to distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace/patient care; see adequately to read computer screens, medical records, and written documents necessary to position; discern temperature variances through touch

Preferred

Bachelor's Degree in Business or Health Administration preferred

Company

Loma Linda University Health

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Loma Linda University Health’s story is one of hope. Our people strongly believe in the work of physical, mental, and spiritual healing.

Funding

Current Stage
Late Stage
Total Funding
$9M
Key Investors
California Institute for Regenerative Medicine
2025-11-04Grant· $9M
2021-04-05Acquired

Leadership Team

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Angela Lalas, MBA, CPA,CGMA,FHFMA
Executive Vice President for Finance/CFO
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Lyndon Edwards
Chief Operating Officer
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Company data provided by crunchbase