Advises departmental revenue owners and staff on proper usage of charge codes. Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues. Identifies operational trends and reviews billing guidelines to help capture additional revenue while maintaining compliance.
Performs charge capture monitoring, revenue integrity review, billing guideline application, and account troubleshooting. Partners with Revenue Cycle, IT, analytics, clinical departments, and vendors to support audits, system conversions, Epic implementations, optimization projects, and compliant charge entry processes.
Requirements & Qualifications
Minimum requirements
- High school diploma or equivalent, or post-high-school diploma / highest degree earned
- 5 years of healthcare revenue cycle experience
Equivalent substitutions
- Associate degree plus 4 years of healthcare revenue cycle experience, including 2 years of charge description master/revenue integrity experience
- Bachelor's degree plus 2 years of charge description master/revenue integrity experience
Required certifications, registrations, or licenses
- One of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS
Knowledge, skills, and abilities
- Understanding of OPPS, IPPS, ICD-10 coding, HCPCS/CPT coding, and revenue cycle processes
- Ability to provide guidance and education across diverse organizational groups
- Ability to apply National and Local Coverage Determinations to work queues and departmental education
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 weeks ago