The Revenue Integrity Coordinator will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies. The position works in coordination with all hospital departments to improve the accuracy, integrity and quality of patient charges and to ensure minimal variation in charging practices. Will respond to requests to research and provide resolution for claim data variances, evaluate payer updates and assist in the performance of chart-to-bill audits to produce and maintain timely, accurate and inclusive charge capture coding and billing functions. Works to identify charge issues and recommend solutions.
Processes a current coding certification as a RHIA, RHIT, Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or a minimum of three (3) year of coding experience required. Prior office management experience preferred. Hands-on experience with hospital billing software applications preferred. Utilization Management, medical audition/review and appeals/denials experience preferred.