Healthcare Revenue Integrity Specialist Consultant

posted on August 29, 2019

Job Description

Location: Philadelphia, PA

Duration: 6 Months

Job Summary:

  • The Revenue Integrity Specialist serves as the key liaison and subject matter expert for assigned service line areas regarding all aspects of charge capture/charge description master processes.
  • This position will lead, support, and coordinate on-going charge capture improvement initiatives for assigned service line areas; including charge reconciliation activities, new service implementation, and identification of revenue management opportunities.
  • The Revenue Integrity Specialist will coordinate all Revenue Integrity activities on behalf of assigned service line areas; department charge capture education, charge audit activities, charge description master management, and monitoring of charge capture related metrics.
  • This position also has a broad understanding of all areas of the revenue cycle; including Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement Services.

Skills:  

  • Registered nurse or other licensed health care practitioner required (PA/NJ licensing preferred).
  • Coding certification preferred.
  • Clinical expertise in Pediatrics preferred.
  • Ability to work effectively with all members of the health care team.
  • Working knowledge of chart/bill audits or ability to abstract medical information.
  • Strong analytical and organizational skills.
  • Excellent verbal and written communication skills.
  • Must be able to work independently.
  • Strong project management skills.
  • Will be required to manage multiple complex projects simultaneously.
  • Effective leadership skills.
  • Must be detail, action, solution, and results oriented.
  • Working knowledge of revenue cycle processes.
  • Computer skills essential.
  • Will need to use Word, Excel, PowerPoint, and Visio at a minimum.

Education:    

  • Bachelor’s degree in clinical program required. Master’s degree preferred.
  • Minimum five (5) years of varied clinical experience as a RN, APN, or other clinical specialist required.
  • Pediatric experience preferred.
  • Working knowledge of coding rules required or willingness to obtain within 3 months of hire.
  • Experience with billing and documentation systems preferred

Certifications & Licenses:     

  • Coding certification preferred
  • RN
  • Registered nurse

 

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