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Job Description

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Revenue Cycle Revenue Integrit

**Work Type:** Full Time (Total FTE between 0.9 and 1.0)

**Shift:** Shift 1

**Work Schedule:** 8 Hr (7:00:00 AM - 3:00:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

**Pay Range:** $27.47 - $43.27 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:

The Revenue Integrity Audit Coordinator uses advanced organizational skills to account for audit requests and ensure timely processing. This role aids other audit team members, compliance, HIM, billing, and revenue cycle team members. By developing processes/procedures to ensure accurate and timely medical records requests, tracking, and trending, this role is integral to ensuring that Rush responds to audit requests on-time, which has a direct relationship with audit outcomes. The Revenue Integrity Audit Coordinator also provides high-level professional support to the Revenue Integrity department. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.

Other information:

• Associates degree or extensive years of related work experience for competency

• Minimum 5 years of healthcare experience working with billing, audits, denials, charge entry, charge capture, or CDM

• Proficient and functional knowledge of hospital and professional charges in the Epic EHR.

• Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers

• High-level of organization, independence, and critical thinking

• Excellent written and oral communication skills along with problem-solving

• Proficiency with MS Office Suite

• High degree of accuracy and ability to collaborate with others

Preferred Job Qualifications

• AAPC or AHIMA certification

**Disclaimer:** The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

Responsibilities:

• Use logic-based critical thinking and decision-making to accurately enter incoming audits into the tracking tool

• Create and track medical records requests for on-time delivery related to audits

• Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits

• Work with external vendors for all functions related to the timely review of audits and documentation along with appeal determination results

• Log audit correspondence in Epic and maintain updates throughout all stages of the audit using accurate data techniques along with Epic reporting

• Identify trends, analyze to propose, and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding audits and denials

• Serves as subject matter expert for fellow team members to review questions and assist with resolving issues related to audits and audit deadlines

• Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards

• Research all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement related to audits and audit prevention

• Provides input and implements process improvement initiatives recognizing efficiency, prevention of audits, and revenue enhancement including how to harness technology and automation to optimize efficiency

• Monitor and work accounts in Epic work queues

• Communicate, observe, and report on charge entry trends and patterns and provides recommendations for improvement

• Engage in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

**Position** Rev Integrity Audit Coord

**Location** US:IL:Chicago

**Req ID** 23066