Job Description

Position Title: Coordinator SBO Revenue Integrity

Employment Type: Full-Time (40 hours per week), Fully Remote

Client Overview:
Our client, a distinguished healthcare provider, is seeking a dedicated and experienced individual to join their team as a Coordinator for SBO Revenue Integrity. This fully remote position is crucial for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) in collaboration with Epic Community Connect partners.

Key Responsibilities:
- Support clinical departments in managing decentralized edits.
- Work and resolve edits assigned to Revenue Integrity.
- Serve as a resource to internal departments and the Community Connect chargemaster team.
- Assist in identifying CPT codes, revenue codes, and payer-specific charging requirements for services.
- Maintain effective coordination with various healthcare departments for seamless revenue cycle operations.

Submission Requirements:
- High school graduate or equivalent - REQUIRED
- Minimum of 3 years of hospital (HB) and professional (PB) chargemaster hands-on work experience in healthcare revenue cycle - REQUIRED
- Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, and Revenue Codes - REQUIRED
- Proficiency in Epic, including understanding of work queues and in-depth knowledge of all components of CDM and its maintenance - REQUIRED
- Experience with MUEs and CCI Edits - REQUIRED
- Experience with Epic, 3M EMR, and RI - REQUIRED
- ARCR: Resolute Hospital Billing & Charging - REQUIRED
- ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding - REQUIRED

This opportunity is ideal for individuals passionate about contributing to the efficiency and effectiveness of healthcare revenue operations in a remote capacity. If you meet the above criteria, we encourage you to apply and become a part of our dynamic team.