REVENUE INTEGRITY SUPERVISOR - REVENUE INTEGRITY
Job Posting for REVENUE INTEGRITY SUPERVISOR - REVENUE INTEGRITY at The Times-Picayune | Nola.com
Status: 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 work must be completed timely and tactfully in a manner that is ethical and compliant and provides the basis for accurate bills.
Other Information
Preferred:Previous supervisory experience.Charge posting/auditing, HCPCS/CPT coding, billing charges, or clinical experience within health system.Proficiency in Epic.
Preferred:Working knowledge of coding or charging or billing guidelines in healthcare setting.
Physical Effort Required/Physical Demands
Strength:Sedentary
Push:Occasionally
Pull:Occasionally
Carry:Occasionally
Lift:Occasionally
Sit:Constantly
Stand:Occasionally
Walk:Occasionally
Responsibilities
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 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:
Preferred:Previous supervisory experience.Charge posting/auditing, HCPCS/CPT coding, billing charges, or clinical experience within health system.Proficiency in Epic.
- Specialized or Technical Education:
Preferred:Working knowledge of coding or charging or billing guidelines in healthcare setting.
- Manual or Physical Skill Required:
Physical Effort Required/Physical Demands
Strength:Sedentary
Push:Occasionally
Pull:Occasionally
Carry:Occasionally
Lift:Occasionally
Sit:Constantly
Stand:Occasionally
Walk:Occasionally
Responsibilities
- Supervise and manage the area of Revenue Integrity operations.
- Monitor Revenue Integrity Specialists’ productivity and performance.Ensure that their duties are completed accurately and timely.
- Responsible for Revenue Integrity Specialists’ evaluation, counseling, staff development, and training.
- Understand Medicare, Medicaid, and other Payors regulations and guidelines as related to coverage of services.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.
- Implement and maintain audit process to identify charging risk areas.Compile information and/or prepare reports and analyses setting forth results of audits.
- Review audit result performed by Revenue Integrity Specialists to ensure completeness and accuracy.
- 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.
- Understand and stay updated of chargemaster functionality.
- Understand the full flow of revenue cycle and Revenue Integrity’s role in it.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 Integrity Committee and provide supporting information.
- Perform other duties as assigned.
- Follow North Oaks Health System’s compliance programs and all Federal and State Regulatory guidelines.
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