Revenue Integrity Coordinator
Company: SCL Health
Posted on: November 10, 2019
You bring your body, mind, heart and spirit to your work as a
Revenue Integrity Coordinator.
Youre equally comfortable with your interpersonal, technical, and
Youre great at what you do, but you want to be part of something
even greater. Because you believe that while individuals can be
strong, the right team is invincible.
As a Revenue Integrity Coordinator with us, you will have the
opportunity to resolve claim edits prior to billing by analyzing
medical record documentation and application of CMS guidance, payer
rules, and compliant coding practices.
System Services is our Corporate Headquarters in Broomfield,
Colorado and is located within the Oracle campus. SCL Health is a
faith-based, nonprofit healthcare organization dedicated to
improving the well-being of the people we serve.
Benefits are one of the ways we encourage health for you and your
family. Our generous package includes medical, dental and vision
coverage. But health is more than a well-working body: it
encompasses body, mind and social well-being. To that end, weve
launched a Healthy Living program to address your holistic health.
Healthy Living includes financial incentives, digital tools,
tobacco cessation, classes, counseling and paid time off. We also
offer financial wellness tools and retirement planning.
Together well align mission and careers, values and workplace. Well
encourage joy and take pride in our integrity.
Well laugh at each others jokes (even the bad ones). Well hello and
high five. Well celebrate milestones and acknowledge the value of
spirituality in healing.
Were proud of what we know, which includes how much there is to
As a Revenue Integrity Coordinator, you need to know how to:
* Perform claim workflows that require special attention due to
compliant practice notifications from both internal and external
sources. Provide Work Que site support for all therapy disciplines,
Lab and Cardiac Cath services. Provide back end denial support and
review when claims/charges are not accepted by insurance
* Analyze and resolve specific billing edits delaying claims from
processing within Epic and/or clearinghouse systems which require
clinical knowledge and/or coding expertise, including the
verification and/or correction of billing data for accuracy and
completeness following regulatory requirements, care site
protocols, SCL Health standard, and supported by medical record
documentation. Resolution may include charge correction or the
application of modifiers, value codes and condition codes, as
* Analyze and provide guidance for system changes that are not
aligned properly between the organizations operating systems and
the billing software utilized by SCL Health. Identify charging,
coding, or clinical documentation issues and work with appropriate
leadership, ancillary departments, Revenue Service Center, care
sites, Charge Master and/or system services to resolve.
* Provide quality assurance to any change made within the workflows
overseen by Revenue Integrity with appropriate feedback for
continued improvement. Perform compliance charge audits by
verifying billing data as compared to documentation and making
corrections within Epic as needed. Evaluate system edit logic and
provide guidance on enhancements to either begin holding claims for
compliance review or remove logic so claims are released without
holding. Evaluate and enhance workflows that reside in charge
capture, billing, reporting and documentation for hospital based
services to maintain a level of compliant billing practices.
Identify issues through track and trend analysis of NCCI Code Pair
edits and prioritization of identified issues on the annual
compliance audit plan for the Revenue Service Center.
* Provide process improvement training to all SCL Health facilities
with regard to compliant billing practices when issues are found
including the creation and maintenance of training documentation to
be shared. Recommend process improvements to care site ancillary
department directors in order to improve documentation, charging
flow, and accuracy. Develop and maintain educational guidelines.
Provide education to care site departments on appropriate code pair
edit resolution with emphasis on documentation requirements and
correct coding guidelines.
We hire people, not resumes. But we also expect excellence, which
is why we require:
* High School Diploma or equivalent, required
* Associates Degree in a healthcare related field (i.e. health
information technology, revenue cycle/finance/business),
* Minimum of three (3) years of work experience related to
healthcare compliance, charge capture, coding and/or hospital
billing processes, required
* At least five (5) years of work experience related to healthcare
compliance, charge capture, coding and/or hospital billing
* Previous experience with EPIC/Emdeon, preferred
* Certified Coder through AAPC or AHIMA, preferred
YOUR NEXT MOVE.
Now that you know more about being a Revenue Integrity Coordinator
on our team we hope youll join us. At SCL Health youll reaffirm
every day how much you love this work, and why you were called to
it in the first place.
Located in Broomfield, CO.
Our facilities do not discriminate against any person on the basis
of race, color, national origin, disability, or age in admission or
access to, or treatment or employment in, its programs, services or
activities, or on the basis of sex (gender) in health programs and
Keywords: SCL Health, Broomfield , Revenue Integrity Coordinator, Other , Broomfield, Colorado
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