Adventist HealthCare · 1 day ago
Revenue Integrity Specialist (Hybrid) Day Shift, Revenue Integrity
Gaithersburg, MD
Full-time
Hybrid
Senior Level
$25.63/hr - $35.89/hr
5+ years expAdventist HealthCare is a faith-based organization dedicated to providing high-quality, compassionate care in the Maryland area. They are seeking an experienced Revenue Integrity Specialist to support their mission by reviewing and analyzing charge capture processes, maintaining work queues, and collaborating with various stakeholders to ensure accurate coding and reimbursement.
Health CareHome Health CareHospitalNon ProfitRehabilitationWellness
Responsibilities
Assigned work queues and associated tasks to review, analyze, and provide corrective action
Keep work queues at agreed-upon levels to keep on task with department goals and objectives
Escalate any barriers or concerns to the manager in a timely, clearly articulated, and documented format
Perform EHR analysis and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of charge capture delays and reconciliation challenges
Build & maintain relationships with key stakeholders covering a range of business sectors
Provide support to the Director, Manager, and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding on care quality, documentation, and reimbursement
Serves as auditing SME for Revenue Integrity
Provide input to the coding team, including coding auditors and coding vendor as needed
QAQC role works with key contacts, dashboards, and reports to reconcile charges according to the source information and against visits and other visit data
Work to ensure charges are entered timely and escalate any barriers to charge capture or reconciliation
Review and support policies and procedures on Charge Capture and Reconciliation
Run reports and respond to requests for detailed analysis, responses, and recommended corrective action
Focus reporting on AHC denials, rejections, and holds to determine patterns and trends and support corrective action needed
Qualification
Required
5 years of experience in quality review and comparable position
High School Diploma required
Strong experience with patient accounts, audits, and accuracy is required
Good organizational, written, and verbal communication skills
Ability to perform comfortably in a fast-paced, deadline-oriented work environment
Ability to work as an independent contributor
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel; fluency in Cerner and/or eCW is desirable
Strong attention to detail and accuracy, using problem-solving skills and analytical thinking
Preferred
Associate Degree preferred
Benefits
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
Company
Adventist HealthCare
Adventist HealthCare is an integrated, health-care delivery organization.
5001-10000 employees
H1B Sponsorship
Adventist HealthCare 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 (25)
2024 (11)
2023 (6)
2022 (23)
2021 (15)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Joseph Tucker, CPA
Vice President and Chief Financial Officer
Seleem Choudhury
Chief Operating Officer
Recent News
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