- 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
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the ... meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the...Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert… 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
- 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 (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
- Trinity Health (Livonia, MI)
- …Three (3) years of revenue cycle experience. Billing, Coding, PA, Revenue Integrity , collections, etc. Certification and membership in AAPC, AHIMA, HFMA, ... actions for ongoing internal process improvement. Leverages patient access and revenue cycle knowledge to ensure continuous quality improvement. Conducts facility… more