What are the responsibilities and job description for the Revenue Integrity Specialist position at Inceed?
Position: Revenue Integrity Specialist
Compensation: $20 - $33/hour, depending on experience
Location: Oklahoma City, Oklahoma
Inceed has partnered with a great company to help find a skilled Revenue Integrity Specialist to join their team!
This is a fantastic opportunity to work onsite in a dynamic environment where you will play a crucial role in ensuring accurate hospital revenue processes. The position involves evaluating hospital claims, identifying discrepancies, and collaborating with clinical leadership to optimize charge capture practices. Join a dedicated team focused on maintaining compliance and enhancing revenue integrity.
Key Responsibilities & Duties:
- Review system and clearing house edits for missing or incorrect charges
- Utilize EMR and clearinghouse to manage claim edits
- Validate claims data against payer rules and regulations
- Provide root cause analysis and feedback on charging practices
- Assist physicians in placing correct procedure codes
- Recommend system optimization for charge capture
- Stay updated on coding ethics and legislative changes
- Research accounts for global or duplicate charges
- Communicate with appeal/denial personnel on CCI edits
- Exercise authority on account adjustments with documentation
Required Qualifications & Experience:
- Minimum of two years in Revenue Integrity, coding, or billing
- Knowledge of CPT/HCPCS and ICD-10 coding
- Experience in hospital charging and billing required
- Strong communication and organizational skills
- Ability to maintain concentration with multiple issues
Nice to Have Skills & Experience:
- Cardiology experience is a plus
- AHIMA or AAPC certification preferred
- Familiarity with medical records and clinical documentation
- Epic experience is a plus
Perks & Benefits:
- 3 different medical health insurance plans, dental, and vision insurance
- Voluntary and Long-term disability insurance
- Paid time off, 401k, and holiday pay
- Weekly direct deposit or pay card deposit
If you are interested in learning more about the Revenue Integrity Specialist opportunity, please submit your resume for consideration. Our client is unable to provide sponsorship at this time.
We are Inceed, a staffing direct placement firm who believes in the possibility of something better. Our mission is simple: We’re here to help every person, whether client, candidate, or employee, find and secure what’s better for them.
Inceed is an equal opportunity employer. Inceed prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Salary : $20 - $33