- Supervise and manage the area of Revenue Integrity operations, system processes, and procedures.
- Monitor Revenue Integrity Specialist's and Supervisor's workload, productivity and performance. Ensure that all duties are completed accurately and timely.
- Monitor hospital Candidate For Billing (CFB) and incomplete professional fee charging and maintain them at a minimum level.
- Problem solve and assist Revenue Integrity Supervisor and Specialist in completing charges and edits. Prioritize high dollar/priority accounts.
- Demonstrate responsiveness on matters requiring additional attention. Ensure outstanding matters are followed through completion.
- Responsible for Revenue Integrity Specialists' and Supervisor's selection, evaluation, counseling, staff development, and training.
- Develop and maintain appropriate standards, policies, and procedures for applicable areas.
- Understand Medicare, Medicaid, and other Payors regulations and guidelines as related to coverage of services. Research and provide guidelines for accurate charge information and sufficient documentation.
- Understand the relationship between proper documentation and charges and be able to link the charges on the account/claim with the documentation in the medical record. Assist in efforts and ensure resolution when discrepancies or deficiencies are identified.
- Design, implement, and maintain audit process to identify charging risk areas. The primary goal is to improve the performance of charge capture process to include assisting in the development of best practices, coordinating error resolution, and establishing prevention measures. Compile information and/or prepare reports and analyses setting forth results of audits with appropriate recommendations.
- Review audit result performed by Revenue Integrity Specialists to ensure completeness and accuracy. Coordinate all retrospective, concurrent, patient complaint, and external billing audits.
- Perform audits of high risk areas and/or detailed patient records with an emphasis on the accuracy of posted charges and assigned codes by reviewing documentation, analyzing information, and researching guidelines.
- Review Revenue Integrity workflow, charge edits, and charge issues. Report trends, identify opportunities, make recommendations, and implement changes to improve documentation, charge accuracy, and productivity.
- Coordinate and provide education to Revenue Integrity Supervisor and Specialist and clinical department leaders when any charge opportunities are identified.
- Inspire confidence from subordinates by performing and communicating in a highly professional, responsive, and supportive manner at all times. Promote an environment in which employees can work together towards goals and objectives.
- Understand and stay updated of chargemaster functionality.
- Understand the full flow of revenue cycle and Revenue Integrity's role in it. Identify opportunities, make recommendations, and implement changes in Revenue Integrity to expedite the completion of the revenue cycle.
- Maintain relationship and communication with other departments as they relate to charge accuracy and process improvement. Collaborate with other departments to support revenue cycle.
- Obtain and maintain up-to-date knowledge of HCPCS/CPT coding including revenue code, HCPCS/CPT code, modifier, and charging guideline.
- Obtain and maintain up-to-date proficiency in Epic applications related to charges and charge edits.
- Actively participate in Revenue Cycle Improvement Teams and other teams/committees to ensure charge integrity.
- Perform other tasks as assigned by the Director.
-
SAP CDP Consultant
3 weeks ago
BlueNova Industries West Hammond, United StatesAbout valantic GmbH: · You probably know that we stand for the "digital now". We show our customers what is possible in digitalization today - from strategy to tangible implementation. · Our range of services includes Financial Services, Customer Experience, Business Analytics, S ...
-
Working student in HR
5 days ago
Phoenix Industries Natalbany, LA, United States Freelance**Student Intern in Human Resources Management** (m/f/d) · To strengthen our dynamic team, we are currently looking for a **student intern in Human Resources Management in Berlin**. · **What to expect**: · - **Recruitment support**: Active involvement in the recruitment process, ...
-
Registered Nurse
3 days ago
PAM Health Hammond, United States Full timeRegistered Nurse (RN) · If you're looking for a schedule that fits your lifestyle, check out PAM Health Specialty Hospital of Hammond and ask us about our new rates and comprehensive benefits package · We are a 40 bed LTAC hospital seeking a Registered Nurse to join our PAMily. · ...
-
ERP administrator
5 days ago
Aurora Solutions Joyce, LA, United States FreelanceWe specialize in the production of seamless, high-precision tubes made of Nitinol and supply them to renowned manufacturers worldwide. Our products are individually manufactured according to customer requirements and are primarily used for long-term medical implants. Our processe ...
-
Clinical Manager
1 week ago
BAYADA Home Health Care Livingston, United States Full timeBAYADA Home Health Care is seeking a RN Clinical Manager for our Essex & Morris County, NJ Assistive Care offices. These offices provide best in class care to clients of all ages throughout the larger Essex & Morris County. · We believe that our clients and their families deserve ...
-
Santander Holdings USA Inc Livingston, United States Part timePart Time Teller, Livingston Eisenhower, Livingston, NJLivingston, United States of AmericaThe Teller processes face-to-face customer transactions for a variety of routine financial transactions. · USA Job Function Description: Acts as first point of contact for consumer and busi ...
-
Youth Development Instructor
3 weeks ago
XP Works LLC Livingston, United StatesYouth Development Instructor · (The work locations for this position are in Coldspring and Onalaska.) · Under the direction of the Area Coordinator, the Youth Development Instructor (YDI) facilitates and delivers contextualized curriculum, which allows participants to develop nec ...
-
Restaurant General Manager
1 week ago
Golden Corral Hammond, United StatesSearcy, Inc. dba Golden Corral, is currently seeking energetic, friendly individuals to join our team At Golden Corral, we know that successful people are the foundation of our very successful company. We hire managers with the talent, integrity, a General Manager, Restaurant, Ma ...
-
revenue integrity Supervisor
3 weeks ago
North Oaks Health System Hammond, United StatesStatus: Full Time · Shift: 40 hours/week including rotating/on-call weekend shifts · Exempt: No · Summary: · Provides supervision, leadership, workflow organization, and training for Revenue Integrity Specialist.Responsible for monitoring and maintaining charging process. All wor ...
-
Patient Concierge
3 weeks ago
Urgent Health Solutions PLLC Livingston, United States**Patient Concierge** · **Department**:Clinic · **Reports To**:Clinical Manager · **Grade/Level**:High School Diploma or GED Required**Amount of Travel Required**:No travel required**Work Schedule**:12 hour weekdays, 9 hour weekends, schedule varies week to week · **Positions Sup ...
-
Outpatient Therapist
1 week ago
Oceans Healthcare Hammond, United States" · At Oceans Behavioral Hospital Hammond, healing is our focus. We are passionate about helping adults and seniors manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified prof ...
-
Restaurant General Manager
3 weeks ago
Golden Corral Hammond, United StatesOur franchise organization, Searcy, Inc. dba Golden Corral, is currently seeking energetic, friendly individuals to join our team · At Golden Corral, we know that successful people are the foundation of our very successful company. We hire managers with the talent, integrity, and ...
-
sr applications analyst
3 weeks ago
North Oaks Medical Center Hammond, United StatesStatus: Full Time · Shift: M-F 8a-4:30p · Exempt: Yes · Summary: · The Sr. Applications Analyst is responsible for leading research, implementation, support, optimization, upgrades, projects, and enhancement of enterprise software applications. This includes on premise and clo ...
-
radiology technologist
3 weeks ago
North Oaks Health System Hammond, LA, United StatesStatus: Full Time · Shift: Evenings and Nights (hours vary), Rotating Weekends, and Rotating Holidays. · Exempt: No · Summary: · Performs radiographic procedures in accordance with established professional and departmental standards and procedures. · Other information: · Minimum ...
-
Radiology Technologist
3 weeks ago
North Oaks Health System Hammond, United StatesStatus: PRN - As Needed · Shift: As needed. Hours vary based on department needs. Shifts include days, evenings, and nights. Rotating holidays and possible on call. Must be able to fulfill PRN requirement of 2 shifts per month with 1 shift being on the weekend. · Exempt: No · Sum ...
-
Or-certified Scrub Tech
1 week ago
North Oaks Health System Hammond, United StatesStatus: Full Time · Shift: 10:30am-7:00pm, Monday-Friday. No call required. · Exempt: No · Summary: · The Certified Surgical Technologist participates as a member of the surgical team under direct supervision of the Registered Nurse. · Other information: · Education: · Graduate o ...
-
weekend radiology technologist
3 weeks ago
North Oaks Medical Center Hammond, United StatesStatus: Full Time · Shift: 7A-7P every Saturday and Sunday and one weekday shift each week. Work 8 weekends in a row, then off 9th weekend. Rotating holidays. · Exempt: No · Summary: · Performs radiographic procedures in accordance with established professional and departmenta ...
-
sonographer - rad/ultrasound
3 weeks ago
North Oaks Health System Hammond, LA, United StatesStatus: Full Time · Shift: Days rotating weekends · Exempt: No · Summary: · Performs Ultrasound procedures in accordance with established professional and departmental standards and procedures. · Other information: · IX. Minimum Knowledge, Skills and Abilities Required: · To perf ...
-
Radiology Technologist
1 week ago
North Oaks Health System Hammond, United StatesStatus: Full Time · Shift: 7on/off Days, Evening and Nights, rotating every other weekend including holidays · Exempt: No · Summary: · Performs radiographic procedures in accordance with established professional and departmental standards and procedures. · Other information: · Mi ...
-
Sonographer - Rad/ultrasound
1 week ago
North Oaks Health System Hammond, United StatesStatus: Full Time · Shift: 7on/7off (Wed - Tues) Night shift, rotating every other weekend including holidays · Exempt: No · Summary: · Performs Ultrasound procedures in accordance with established professional and departmental standards and procedures. · Other information: · IX. ...
revenue integrity Manager - Hammond, United States - North Oaks Health System
Description
Status:
Full Time
Shift: 40 hours per week
Exempt:
Yes
Summary:
Provides supervision, leadership, workflow organization, and training for Revenue Integrity Specialist and Supervisor. Responsible for designing, monitoring, and maintaining charging process.
All work must be completed timely and tactfully in a manner that is ethical and compliant and provides the basis for accurate bills.
Other information:
Previous Experience:
Required: 5 years in revenue cycle or chart auditing or clinical care in a healthcare organization. 2 years of supervisory experience. Strong communication skills. Strong analytical skills. Strong organizational skills. Strong computer skills including Microsoft Word and Excel.
Preferred:
Proficiency in Epic. Charging, HCPCS/CPT coding or billing experience within health system.
Specialized or Technical Education Required:
Required:
Bachelor's degree in business/healthcare/related field or high school diploma with 2 years healthcare experience for each year college not completed.
Working knowledge of charging or coding or billing guidelines in healthcare setting.Preferred:
RN or LPN.
Manual or Physical Skill Required:
Proper vision, hearing, and body mechanics to operate computers, telephone, and other office equipment; to spend long hours sitting and working with computer; to occasionally walk between various departments; and to occasionally lift files or papers weighing up to 10 lbs.
Physical Effort Required/Physical Demands:
Strength:
Sedentary
Push:
Occasionally
Pull:
Occasionally
Carry:
Occasionally
Lift:
Occasionally
Sit:
Constantly
Stand:
Occasionally
Walk:
Occasionally
Responsibilities:
DESCRIPTION OF DUTIES:
