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GENERAL SUMMARY:
The Revenue Integrity Specialist position identifies revenue opportunities and works collaboratively with Revenue Cycle staff to drive process improvement, educate clinical departmental staff, and document workflows. Primary areas of focus include increased revenue capture, compliance, and decreased denials.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Actively participates in team development, achieving financial targets, and accomplishing department goals and objectives.
2. Analyzes charge reconciliation reports to verify that departments have captured all charges, and compile findings in departmental charge capture performance reports.
3. Identifies charge trends and utilizes this information to determine quarterly focused reviews of specific departments.
4. Provides additional education determined by findings.
5. Coordinates with the RI Auditor to review provider/clinician documentation to verify that the medical record supports the charges billed, prepares a summary report of findings, and shares with departmental leadership.
6. Coordinates with RI Auditor to review accounts comparing the medical record and itemized bill to identify charging and billing weaknesses in the system.
7. Coordinates with CDM Manager regarding Medicare and other regulatory updates to provide education to departments and update CDM accordingly.
8. Works with CBO (Denials, Billing and third Party) to identify issues related to denied charges for hospital services, and coordinates with CDM Manager to update CDM accordingly.
9. Meets with clinical departments and specialties to ensure appropriate charge capture for services provided.
10.Serves as a regulatory resource of Medicare, Medicaid, Medicaid OPPS reimbursement and other third-party billing rules and coverage through self-directed education and communication to departments.
11.Performs other duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
CERTIFICATIONS/LICENSURES REQUIRED:
Full Time
Hospital
$75k-94k (estimate)
05/22/2024
07/21/2024
henryford.com
DETROIT, MI
15,000 - 50,000
1899
Private
WRIGHT LASSITER III
$5B - $10B
Hospital
Henry Ford Health System provides health care and medical services.
The job skills required for Revenue Integrity Specialist/Full Time/ include Billing, Integrity, Process Improvement, Critical Thinking, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Integrity Specialist/Full Time/. 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 Specialist/Full Time/. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue Integrity Specialist/Full Time/ positions, which can be used as a reference in future career path planning. As a Revenue Integrity Specialist/Full Time/, 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 Specialist/Full Time/. You can explore the career advancement for a Revenue Integrity Specialist/Full Time/ below and select your interested title to get hiring information.