City of Hope · 3 hours ago
Revenue Integrity Specialist
Duarte, CA
Full-time
Onsite
Mid Level
3+ years expCity of Hope is a transformative organization dedicated to fighting cancer and other life-threatening illnesses. The Revenue Integrity Specialist will serve as an expert in charge capture and charge integrity, working with clinical service line leaders to ensure compliance with guidelines and improve revenue capture processes.
AssociationEducationHealth Care
Responsibilities
Serve as a charge capture, charge integrity and charge description master expert to clinical service line leaders and ensures processes are in compliant with Federal/State guidelines
Identify revenue opportunities and work collaboratively with revenue cycle and clinical staff to develop a work plan to ensure process improvement is understood by departmental managers and staff and is documented throughout the revenue cycle with the expected outcome being increased revenue capture and decreased denials
Qualification
Required
Bachelor's Degree; 3 additional years of experience plus the minimum experience requirement may substitute for minimum education
Minimum of three (3) years of experience working in Revenue Integrity/Charge Capture/Coding hospital and/or professional/ambulatory healthcare environment
At least three (3) years prior experience performing medical record /charge audit/claim audit reviews
Must have technical knowledge of correct coding principles of CPT/HCPCS and modifier selection
Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other 3rd party billing rules/coverage
Company
City of Hope
City of Hope is a cancer research and treatment non-profit organization specializing in diabetes and other life-threatening illnesses.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$10.3MKey Investors
California Institute for Regenerative Medicine
2024-05-20Grant· $5.4M
2022-02-22Grant· $4.9M
Leadership Team
Samuel Lau
Vice President Marketing & Digital Communications
Alan H. Bryce
Chief Clinical Officer
Recent News
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