Revenue Integrity Liaison

Medical University of South Carolina • Charleston, SC

3d

About The Position

The Revenue Integrity Liaison reports to the Revenue Integrity Manager. Under indirect supervision, the Revenue Integrity Liaison functions as a resource to revenue-generating clinical areas to ensure compliance with regulatory guidelines, internal charging policies and third-party payer requirements. This position monitors revenue volumes and timeliness by cost center and compares with baselines to identify trends that may require interventions. The Revenue Integrity Liaison also works work queues to ensure appropriate charging and resolving billing edits and errors to ensure clean claims are being billed out of the system to help ensure timely payment from payors. The Revenue Integrity Liaison also works with the Revenue Integrity Manager and Revenue Analyst to identify root causes to billing edits caused by charge capture workflows and collaborate with clinical departments to institute preventative measures. This role provides assistance with education and training related to charge capture and documentation to ensure timely and accurate revenue generation. The Revenue Integrity Analyst II specializes in the clinical departments assigned and performs as a resource to those clinical areas and the entire revenue cycle.

Requirements

• Bachelors Degree and 2 years work experience; or High School Diploma (or equivalent) and 5 years experience required.

Responsibilities

• Functions as a resource to revenue-generating clinical areas to ensure compliance with regulatory guidelines, internal charging policies and third-party payer requirements.
• Monitors revenue volumes and timeliness by cost center and compares with baselines to identify trends that may require interventions.
• Works work queues to ensure appropriate charging and resolving billing edits and errors to ensure clean claims are being billed out of the system to help ensure timely payment from payors.
• Works with the Revenue Integrity Manager and Revenue Analyst to identify root causes to billing edits caused by charge capture workflows and collaborate with clinical departments to institute preventative measures.
• Provides assistance with education and training related to charge capture and documentation to ensure timely and accurate revenue generation.
• Specializes in the clinical departments assigned and performs as a resource to those clinical areas and the entire revenue cycle.

What This Job Offers

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