• Revenue Integrity Liaison

    Alameda Health System (Oakland, CA)


    Revenue Integrity Liaison

    + oakland, CA

    + Finance

    + Revenue Integrity

    + Full Time - Day

    + Req #:40541-29919

    + FTE:1

    + Posted:February 6, 2025

    Summary

    **SUMMARY** : Serves as the key point of contact for assigned clinical care departments to support them in capturing of all charges for services rendered to patients.

    **DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

    1. Supports Clinical Department Revenue Designees with daily charge reconciliation processes for Professional and/or Hospital Revenue (educates on documented workflows, published dashboards, and report configuration and interpretation)

    2. Serves as the main point of contact for assigned Clinical Departments to address or facilitate obtaining answers to questions related to missing or potential incorrect charges and works to address these matters accordingly (including reaching out to Information Systems, Revenue Integrity team members or leadership, and/or Professional Coding teams)

    3. Maintains current list of Revenue Designees (one assigned to each Epic Clinical Department) and communicates (via ServiceNow Tickets) to IS when updates are needed in Epic.

    4. Takes lead on (or actively participates and contributes to) charging-related changes or improvement initiatives for assigned departments; communicates to impacted stakeholders prior to changes being approved and implemented.

    5. Monitors charge capture and charge reconciliation performance using applicable data sources (Epic reports/dashboards) and communicates to the leadership if performance is not meeting defined AHS Standards.

    6. Performs routine audits for assigned departments to determine if all expected charges have been triggered, any pending charges are appropriate to pend, the correct resources are resolved

    7. Reviews and/or works assigned Charge-related WQs.

    8. Performs other duties as required.

    **MINIMUM QUALIFICATIONS** :

     

    Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

     

    Required Education: High School Diploma or equivalent.

     

    Preferred Education: Bachelor’s degree in healthcare information management, nursing, or relevant area.

     

    Required Experience: Seven years in any or a combination of roles: Epic Analyst (for Clinical or Billing Applications), CDM Analyst/Manager, Epic ARCR Lead (for Charging/Revenue Integrity), Epic Training Lead (for Charge Capture/Reconciliation), Epic Informaticist/Clinical Informaticist.

     

    Preferred Experience: Professional Coder, Hospital Coder, Coding Auditor, Medical Office or Facility Management (including accountability for revenue and costs/budgets); nursing experience.

     

    Required Licenses/Certifications: Certified Coder (CPC or CCS) from accredited organization (such as AAPC or AHIMA) required within the first year of employment.

     

    Preferred Licenses/Certifications: Epic Certification (Clinical and/or Billing Applications); valid license as a Registered Nurse or Vocational Nurse in the State of California.

     

    Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.