Catholic Health · 3 hours ago
Revenue Integrity Specialist
United States
Full-time
Remote
Mid Level
$75K/yr - $86K/yr
3+ years expCatholic Health is one of Long Island’s finest health and human services agencies, focused on providing compassionate care to the community. The Revenue Integrity Specialist serves as the revenue liaison between various departments, ensuring accurate charge capture operations and collaborating to resolve revenue-related issues.
Health Care
Responsibilities
Provides guidance and communication on correct charge capture and billing processes to clinical department and facilities
Perform periodic reviews and assessments of charge capture for PRC Departments
Identifies trends and participates in the resolution of revenue/charge related issues
Identifies opportunities for capturing additional revenue in accordance with payer guidelines
Develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections
Coordinates and assists with research and implementation of charge capture processes for new services and/or new/updated technology
Works with Coding and clinical departments to identify/resolve errors based on ICD/CPT Coding Guidelines and National Correct Coding Initiative edits
Responds to departmental charging inquiries timely
Leads meetings to discuss charge capture findings
Assists in developing revenue integrity training documentation and policies for training and education within the Revenue Integrity team and departments providing physician services
Performs other duties as assigned
Qualification
Required
Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience
Proficient presenting to and interacting with all levels of ambulatory and hospital management
Possess strong interpersonal skills in order to integrate and successfully function with all levels of the organization
Extreme attention to detail, highly developed organizational skills, and ability to prioritize assignments
Excellent communication skills: both verbally and in written text
Superior analytical and problem solving skills
Self-directed with ability to work independently and manage time effectively
Ability to identify and redesign inefficient workflows and processes; offer guidance and quality decisions
Positive and professional attitude, with a strong emphasis on working as a team
Perform quality work within deadlines
Three (3) or more years of experience in charge documentation, charge audit or charge capture activities
Proficient knowledge of ICD/CPT coding required; CPC or CCS-P required
Strong computer literacy required including proficiency in relevant software including, Microsoft Office (Excel, PowerPoint, and Word; Access a plus)
Preferred
Epic HB/PB experience preferred
Related Epic certification and/or Epic proficiency preferred
Benefits
Generous benefits packages
Generous tuition assistance
Defined benefit pension plan
A culture that supports professional and educational growth
Company
Catholic Health
When it comes to health care, Long Islanders have a choice.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Sumita Yadav
System Vice President Operations & Cardiovascular Service Line
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