Revenue Integrity Coordinator - HIM Revenue Integrity jobs in United States
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UNC Health · 2 days ago

Revenue Integrity Coordinator - HIM Revenue Integrity

UNC Health is an inclusive organization dedicated to improving the health and well-being of the communities it serves. The Revenue Integrity Coordinator will manage daily operations of the Revenue Integrity Program, ensuring processes are conducted efficiently to meet service level agreements and regulatory standards.

Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness

Responsibilities

Actively engage Revenue Cycle leaders, Clinical Liaisons, and other team members to proactively identify opportunities to avoid missed charges and/or incorrectly charged services and to provide education as it pertains to changes in charge practices and medical necessity, in accordance with local/national guidelines
Drives operational workflow with accountability within charge capture/review, DNB edits, CCI/OCE and other pre/post bill edit processing, OBSV review/carve-outs, and Infusion & Injection for meeting established quality and productivity goals while seeking ways to improve the efficiency and accuracy of associated work functions (both direct and indirect) across the health care system
Advises and collaborates with the Revenue Integrity Leadership to analyze, review and assess identified billing, coding, charging, and compliance issues
Responsible for providing team members with the tools and training needed to affectively meet these goals
Serve on work teams associated with advancing the revenue cycle strategy of the health care system upon request. Such participation may require travel, including overnight travel to affiliate locations

Qualification

Revenue Cycle experienceCoding guidelinesAnalytical skillsCommunication skillsTime management

Required

Bachelor's degree in an appropriate discipline
Three (3) years of progressive experience in related field. Highly prefer Revenue Cycle experience
Associates degree in an appropriate discipline. Seven (7) years of progressive experience in related field. Highly prefer Revenue Cycle experience
High School diploma with eleven (11) years of progressive experience in related field. Highly preferred Revenue Cycle Management experience
Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as coding guidelines
Extensive knowledge of Correct Coding Initiative (CCI) edits, CPT, HCPCS, ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance) required
Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment
Proficient in time management with superior prioritization skills
Must be self-motivated and detail oriented with strong analytical and critical-thinking skills
Effective verbal and written communication skills with the ability to professionally present information to all levels of management
Understanding of overall hospital revenue cycle functions

Company

UNC Health

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Our mission is to improve the health and well-being of North Carolinians and others whom we serve.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
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Jeff Lindsay
President and Chief Operating Officer
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