1 Years | Days | 40 hour GTD | Weekend schedule to be determined by facility

Coordinator SBO Revenue Integrity- FULLY REMOTE

This position is responsible for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) at Bay Area Hospital, in coordination with our 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

Originally posted on Himalayas