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The Revenue Integrity Coordinator is responsible for the tracking, analysis and trending of all audits in the Revenue Integrity program received into the Erlanger Health System.
Education : Required :
Required :
Bachelor's Degree in Healthcare or Finance Related area or Associate Degree with related experience
Preferred : Experience :
Experience : Required :
Required :
Minimum of 5 years of demonstrated experience in Revenue Cycle in a Hospital setting ( i.e. Finance, Registration, Utilization Review / Case Management) and experience and understanding of Federal / State and other regulatory billing requirements.
Must have demonstrated ability to develop and present analytical reports, develop process improvement plans related to the report findings, prioritize task and adhere to deadlines and required timeframes.
Must be detail oriented with demonstrated accountability and strong organizational skills.
Preferred :
Position Requirement(s) : License / Certification / Registration
Required : CPAR
CPAR
Preferred :
Department Position Summary :
The Revenue Integrity Coordinator is responsible for the tracking, trending and reporting of all Federal / Regulatory Integrity Audits received into the Erlanger Health System.
KePro requests, and any other claims audits performed by third party payers. The position also works to identify underpaid or problematic Medicare accounts and communicates back to the Business Office those accounts expecting additional reimbursement.
The Revenue Integrity Coordinator will assist the Revenue Integrity Manager in the reporting of data to the Erlanger Executive Management Team, including developing the data trending reports.
This position will also be responsible for tracking and submitting Medicare appeals as directed, as well as submission and tracking of ED medical necessity appeals at all levels.
Additionally, the RI coordinator will be responsible for any tracking software used by the department for monitoring and tracking appeals and audit activity, communicating to RI staff regarding upcoming timeframes as well as the responsibility for uploading documentation required for submission to overflow appeals vendors for medical necessity, clinical validation DRG audits.
Last updated : 2024-05-19
Full Time
Hospital
$79k-107k (estimate)
05/20/2024
08/19/2024
erlanger.org
PIKEVILLE, TN
3,000 - 7,500
1889
STEPHANIE BOYTON
$1B - $3B
Hospital
The job skills required for Revenue integrity coordinator include Billing, Integrity, Process Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue integrity coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue integrity coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue integrity coordinator positions, which can be used as a reference in future career path planning. As a Revenue integrity coordinator, it can be promoted into senior positions as a Revenue Cycle Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue integrity coordinator. You can explore the career advancement for a Revenue integrity coordinator below and select your interested title to get hiring information.