Revenue Integrity Advisor

Mountain Region Support • Centennial, CO

1d

About The Position

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
The Hospital Revenue Integrity Advisor is responsible for the technical abilities to provide direction in developing and maintaining systems, processes and work flows, for the timely and accurate recording of hospital and clinic revenue in regards to charge capture and maintenance of facilities and clinic Charge Description Masters (CDMs). Position provides education, implementation support and monitors designated CDMs for adherence to changes required by The Centers for Medicare and Medicaid Services (CMS) and other regulatory agencies. The position works directly with the department leaders and clinicians, physicians / clinics, charge audit, coding, IT, and ASC's (Application Steering Committee). It has collaborative relationships with Patient Financial Services, Contract Management and Compliance. Reports to Corporate-Service Center Revenue Integrity Manager. Occasional travel required within Colorado and Kansas.

Requirements

• Bachelor Degree Or Equivalent Experience
• 4 or more years of direct experience in the job to be qualified OR If associate has an Associate's Degree the Candidate must have 2 or more years of direct experience in the job to bequalified.
• H.S. Diploma or GED required
• 5 years experience in Health Information Management or related HCPCS/CPT environment required.
• Prior experience managing clinic/facility CDMs, required.
• Prior experience auditing, training and communicating clinical documentation, coding and regulatory requirements, required.
• Prior experience with Microsoft Office applications including Word, Excel and PowerPoint, required.
• Prior experience applying medical terminology, CPT-4 and HCPCS codes, required.
• Prior experience with facility reimbursements.
• Demonstrated knowledge of CMS regulations, billing compliance and the various data elements associated with the UB claim form.
• Proficiency with Microsoft applications including Word, Excel and PowerPoint.
• Understand and apply OSHA requirements.

Responsibilities

• developing and maintaining systems, processes and work flows, for the timely and accurate recording of hospital and clinic revenue in regards to charge capture and maintenance of facilities and clinic Charge Description Masters (CDMs)
• provides education, implementation support and monitors designated CDMs for adherence to changes required by The Centers for Medicare and Medicaid Services (CMS) and other regulatory agencies
• works directly with the department leaders and clinicians, physicians / clinics, charge audit, coding, IT, and ASC's (Application Steering Committee)
• collaborative relationships with Patient Financial Services, Contract Management and Compliance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level