Revenue Integrity Tech
Company: Acuity Search Solutions, Inc.
Posted on: November 19, 2021
(Only QUALIFIED Healthcare Professionals accepted)
Revenue Integrity Tech
Works with departments to routinely identify compliant charging
opportunities, proactively identifying revenue opportunity and
suggest improvements with revenue cycle leadership to prioritize
audits as it relates to charge capture and/or revenue flow.
Responsible for charge audits, ensures that we remain within the
standards for resolving edits/issues that appear in eRequest and on
Bill45/49. Review payments for accuracy from contracted payers and
management of appeal process with assigned audits. Conduct appeals
to Medicare to reverse medical necessity denials. Audits and enters
charges at or above minimum accuracy and productivity rate set by
department leadership (accuracy measured by monthly quality
reviews). Inputs charges correctly into charge capture audit
system, working with departments, HIM and PFS to assure complete
and accurate billing. Monitors reports of accounts via charge
capture audit system on a routine basis, keeping number of accounts
below goals set by department leadership. Works effectively with
revenue cycle department to thoroughly understand how clinical
changes impact changes net revenue. Utilizes established coding and
charging guidelines for accurate data capture and reimbursement.
Knowledge based regarding edits and criteria for corrective action
on billing errors, confirms edits are completed timely to insure
proper charge capture Review and distribute Medicare Bulletin
monthly and meet with department impacted, determines Medicare
denial rate and physician education. Fulfills other assigned
responsibilities, duties and tasks of them not specifically listed
within this job description and as directed by employees Director
or Administrative representative.
Bachelors degree in business, healthcare, nursing or related field
preferred, Associate level accepted. Three years healthcare
experience in audit or coding is required, clinical experience
preferred. Coding certification (e.g. CCS, RHIA, RHIT, CPC) or
applicable experience is preferred.
Keywords: Acuity Search Solutions, Inc., Durham , Revenue Integrity Tech, Other , Roxboro, North Carolina
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