- Scripps Health (San Diego, CA)
- …coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity . * Leverage professional fee expertise to optimize ... management (HIM) operations. * Deep knowledge of professional fee and hospital revenue cycle processes, including payer requirements, reimbursement… more
- Sharp HealthCare (San Diego, CA)
- …the system. + Problem ResolutionReviews and follows-up on issues in assigned Epic Revenue Integrity work-queues.Follows-up with clinical, coding, billing ... enhancement opportunities for all entities supported by the System Revenue Integrity Department and in alignment with...expertise in and is a go to resource for Epic Revenue Guardian Checks.Maintains expertise in charge… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing ... hospital and professional revenue , identifying potential ...and potential improvement opportunities. Prepares and leads the monthly Revenue Integrity and the School of Medicine… more
- UCLA Health (Los Angeles, CA)
- … billing systems and third-party billing requirements, preferred + Experience in revenue integrity operations, clinical charge capture, charge master, or ... can do all this and more at UCLA Health. You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue … more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals. **What will you be doing in this role?** The Revenue Integrity Spec II, of Compliance and Revenue Integrity , is ... other CRI staff. May serve as co-administrator of the Epic HB charge review work queues that enables charge...fuels innovation. **Req ID** : 12666 **Working Title** : Revenue Integrity Specialist II **Department** : OP… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! #LI-JV1 Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. ... This role leads and oversees the organization's Revenue Integrity and Charge Description Master (CDM)...audit plans for compliance-related reporting activities. + Coordinate with hospital end users and offshore teams to ensure accurate… more
- Stanford Health Care (Palo Alto, CA)
- …audits as requested. + Collaborates with RI CDM to optimize the integrity of the Chargemaster + Applies consistent and standardized compliance monitoring methodology ... and inaccurate procedural billing. + Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services....as a team player and leader + Knowledge of Epic EMR and billing + Knowledge of charge capture… more
- Stanford Health Care (Palo Alto, CA)
- …Qualifications** + Five (5) years of progressively responsible and directly related mid- revenue cycle work experience. + EPIC experience required (certification ... points stemming from revenue cycle workflow + Knowledge (proficient) of the Epic system as well as operational aspect + Knowledge and experience in facilitating… more
- UCLA Health (Los Angeles, CA)
- …with clinical and operational stakeholders to clarify documentation, improve workflows, and prevent revenue loss + Conduct revenue integrity analyses to ... CPT/HCPCS coding and billing guidelines (required) + Strong knowledge of hospital revenue cycle functions, including billing, coding, chargemaster management,… more
- John Muir Health (Walnut Creek, CA)
- …Preferred **Experience:** + Health Maintenance Organization Referrals Required **Certifications/Licensures:** + Epic - Proficiency must be passed within 90 days of ... Products (Word, Excel, Outlook and Power Point). + Maintains professional and personal integrity . + Must be able to maintain effective working relationships with a… more