Revenue Integrity Specialist
- Requisition ID
- 187842
- Department
- 100608 Clinical Revenue Integrity
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Professionals
- Salary
- 25.66 - 35.92
Position Purpose
The Revenue Integrity Specialist is responsible for documenting and supporting the charge capture practices for Renown Health System. The Specialist will support the data gathering for the review and maintenance of the hospital and professional chargemasters, charge documents, and charge capture processes. The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational reimbursement. The specialist will perform data gathering for ROIs.
Nature and Scope
The Revenue Integrity Specialist will be responsible to:
A. Track and trend data on late charges, provides weekly and monthly reporting to Renown Health leaders.
B. Track and trend data on late charge root causes, providing weekly and monthly reporting to Revenue Cycle Leadership, as well as Revenue Integrity Coordinators for follow up with clinical departments.
C. Keep an issue log of findings/issues/action plans for the work queues under Specialists’ responsibility
D. D. Identifies, researches, and analyzes charging errors and/or omissions, working collaboratively with
appropriate department staff/team members to ensure that revisions/corrections are made
E. May address routine system issues, referring to non-routine matters to department leaders.
F. Prepares reports, and provides departmental summary information to the health network which is responsible for ensuring that all charges on a system wide basis are being captured and charged appropriately
G. Assists interdepartmental teams in troubleshooting accounts that are being held for billing in edits due to charging/documentation discrepancies
H. Specialists will assist with management and maintenance of SNOW tickets.
I. Interface with IT for maintenance tickets.
This position does not provide patient care
Disclaimer
The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name | Description |
|---|---|
Education: | Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's Degree preferred. |
Experience: | Medical terminology experience preferred. Two years in hospital revenue cycle with knowledge of charging practices preferred. Coding and claims edit experience required. |
License(s): | None |
Certification(s): | None |
Computer / Typing: | Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Computer literacy, including word processing, spreadsheet applications, database management and Microsoft office (Access). |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.