ED Revenue Integrity Specialist II - REMOTE, First Shift

UofL Health • Louisville, KY

306d • Remote

About The Position

This position is responsible for performing daily revenue integrity audits and charge reconciliation to support the accurate and timely capture of Emergency Department (ED) charges. Daily monitoring of patient board and review of census and discharges to ensure that required documentation is present to facilitate charge capture. Daily review and processing of ED facility level charges, ED procedures, injections, infusion, other administrations, and pre-bill edits. Interacts as needed with internal customers to include but not limited to hospital staff, ED care providers and leadership, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure overall UofL Health success.

Requirements

• Minimum high school education or GED required.
• Experience related to charging for Infusion and Injection medications and ED Leveling is preferred.
• Ability to maintain confidentiality of sensitive information required.
• ED Revenue Integrity Specialist II requires the upkeep of one of the following nationally accepted Certified Coding Credentials (I.e., RHIT, RHIA, CPC, CPC-H, CCA, CCS, or CCS-P).
• Prior experience ED facility coding, a plus.
• Minimum 1 year ED leveling experience with a Certified Coding credential required.

Responsibilities

• Timely review and capture of emergency department (ED) facility level charges.
• Maintain productivity standards by ensuring that ED charge capture remains current or entered within 3 days of patient discharge.
• Maintain overall financial viability for UMC Revenue Cycle through collaboration and effective communication with ED care providers and leaders as well as coding, billing, and other charge entry staff.
• Collaborate with care providers to resolve missing documentation needed to accurately capture ED charges.
• Research and resolve billing and coding issues for ED pre-bill edits to ensure timely filing of clean claims and overall reduction of discharge, not final bill (DNFB) status.
• Maintain productivity standards by working to resolve outstanding ED-related pre-bill edits timely.

Benefits

• Competitive Pay & Benefits Options
• Paid Vacation, Sick days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
• 401K with Employer Match

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED