- Henry Ford Health System (Troy, MI)
- …Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical departments and practices ... the Manager, Revenue Integrity , the Revenue Integrity Specialist identifies ...Revenue Cycle staff to drive process improvement, educate clinical departmental staff, and document workflows. Primary areas of… more
- Hartford HealthCare (Farmington, CT)
- …location is the Central Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient ... and report charging and medical necessity issues as appropriate. *_Reports To:_*Supervisor, Revenue Integrity Specialist *_Education:_*High School diploma or… more
- Montrose Memorial Hospital (Montrose, CO)
- …patient. About The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of physician and nursing ... of healthcare. About the "Department" + Montrose Regional Health revenue integrity is the auditing and active...to quality reporting measures, and ensures accurate reimbursement. The Clinical Revenue Specialist is a… 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 and ... to analytical, technical and operations problem solution efforts.Works with revenue integrity , finance and clinical leadership to develop, implement… more
- Guidehouse (St. Paul, MN)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity , the Revenue Integrity Coding Billing Specialistprovides ... for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific ...claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate… more
- Trinity Health (Fort Lauderdale, FL)
- …to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to ... staff on need for accurate and complete documentation to ensure revenue optimization and integrity . Educate clinical staff on need for accurate and complete… more
- Trinity Health (Livonia, MI)
- …preferred. CDC (Healthcare Compliance Certification) and CHRI (Certificate in Healthcare Revenue Integrity ) are strongly preferred. **Physical & Mental ... federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as...are placed on the claim appropriately including ancillary or clinical systems related to revenue cycle, charge… more
- Scripps Health (San Diego, CA)
- …La Jolla and requires residence in San Diego County. * The*Senior Director, Revenue Cycle - Clinical Documentation Integrity *provides strategic leadership ... success, we are seeking an accomplished leader to join us as Senior Director, Revenue Cycle - Clinical Documentation Integrity (CDI). This critical… more
- Northwell Health (Westbury, NY)
- …coding and charging related claim edits, including departments requiring clinical /coding expertise. Responsible for validation of items, assuring the appropriate ... assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol,...educates departments on coding and compliance issues. + Ensures revenue codes are in compliance with the Federal Register… more
- Henry Ford Health System (Detroit, MI)
- …compliance best practices. + Denials Management & Process Optimization: Partner with Revenue Integrity and Compliance to monitor pharmaceutical claim denials, ... + Demonstrated experience in health system pharmacy operations, charge capture, revenue integrity , or financial analytics strongly preferred. + Knowledge… more