Revenue Integrity - Coos Bay, United States - ThreePDS Inc. Recruiting, Staffing, and Consulting

Description

Job Description

Job Description

This position is responsible for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) at a hospital, in coordination with their Epic Community Connect partners. Supports clinical departments responsible for working decentralized edits. Is responsible for working and resolving edits assigned to Revenue Integrity. Serves as a resource to both internal departments and the Community Connect chargemaster team and will help with identifying CPT codes, revenue codes or payer specific charging requirements for services provided.

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) code and Revenue Codes – REQUIRED
• Must know what work queues are and how to fix in Epic/very hands on and must know all components of CDM and maintenance of CDM- REQUIRED
• Must understand and have 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

Company DescriptionAt ThreePDS, our mission is to provide the highest quality staffing solutions on contract and/or permanent basis within the framework of a highly personalized and transparent approach. We Partner with Clients and Candidates alike to provide the highest level of service to achieve a common goal.

Company Description

At ThreePDS, our mission is to provide the highest quality staffing solutions on contract and/or permanent basis within the framework of a highly personalized and transparent approach. We Partner with Clients and Candidates alike to provide the highest level of service to achieve a common goal.