Saint Alphonsus ยท 2 days ago
Revenue Integrity Auditor Full-Time Days (REMOTE)
Boise, ID
Full-time
Remote
Mid Level
3+ years exp
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Responsibilities
Conducts departmental audits to ensure proper documentation and compliance with state and federal guidelines relating to the charge capture and billing of services.
Prepares and submits audit findings and makes recommendations to Revenue Integrity and Compliance.
Coordinates concurrent and retrospective audits of patient medical records and itemized bills.
Performs charge audits to ensure charging/coding accuracy provides feedback to department Revenue Leads and Management.
Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing.
Reviews bulletins to maintain an understanding of regulatory and payer changes to assure correct charging and billing requirements are met.
Maintains working knowledge of coding and billing regulations for all payors.
Keeps current on regulatory updates.
Maintains working knowledge of local established policies, protocols, and procedures to ensure charge accuracy.
Provides results and education to department managers and charge capture auditors.
Proficient in outpatient and inpatient charge capture operations and coding.
Comprehension of revenue cycle operations.
Maintains a positive relationships with all parties.
Willingness to adjust competencies as necessary to meet requirements of position.
Ability to work with a wide variety of people under adverse conditions.
Strong communication skills.
Knowledge of charge capture, reconciliation, error management operations required.
Attends required training sessions on updates to billing regulations and/or charge capture process.
Proficient in use of MS Office applications (Word, Excel), Internet applications and Outlook.
Excellent communication and organizational skills.
Qualification
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Required
Bachelor's degree in Business preferred, or related field or equivalent experience/specialized education in hospital revenue cycle operations.
Three years' experience in health care reimbursement or hospital business office operations.
Strong preference for knowledge of Medicare coding and reimbursement systems for inpatient and outpatient hospital services, including CPT and HCPCS coding gained through experience.
Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing.
Knowledge of charge capture, reconciliation, error management operations required.
Proficient in outpatient and inpatient charge capture operations and coding.
Comprehension of revenue cycle operations.
Strong communication skills.
Proficient in use of MS Office applications (Word, Excel), Internet applications and Outlook.
Excellent communication and organizational skills.
Preferred
RHIA/RHIT, CPC, CCS or equivalent coding certification(s) preferred.
Benefits
Market-competitive pay
Generous PTO
Multiple options for comprehensive benefits that begin on day one
Retirement planning and matching
College savings plans for your family
Multiple life insurance plans that can change as your needs develop
Employee Assistance Programs
Tuition reimbursement
Educational opportunities to help you learn and grow
Company
Saint Alphonsus
Saint Alphonsus is a four-hospital regional, faith-based Catholic ministry with over 5,000 colleagues and 2,000 medical staff professionals serving more than 700,000 people in Idaho and Oregon, with outreach services to Utah, Montana, and Nevada.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Misti Leavitt
Vice President Operations/CNO
Alexandra Oliver, RACR
Talent Sourcing Partner
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