Revenue Integrity Specialist

## Find a Doctor Find a doctor near you. Search by name, specialty or location for care that fits your needs.## Find a Location Find care near you. Browse Renown locations, get directions and find services all in one place.### Search by location type### Search By City### Provider Services### Education### Search by location type### Search By City### Provider Services### Education### Paid Time Off### 401(k) Company Match### Flexible Work Environment Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system.

We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
** For Providers:
** Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.#

Revenue Integrity Specialist

Requisition :
187842

Department:
100608 Clinical Revenue Integrity

Schedule:

Full Time
- Eligible for Benefits

Shift:
Day Category:
Professionals Salary:
25.66 - 35.92## Position Purpose The Revenue Integrity Specialist is responsible for documenting and supporting the charge capture practices for Renown Health System. The Specialist will support the data gathering for the review and maintenance of the hospital and professional charge masters, charge documents, and charge capture processes. The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational reimbursement.

The specialist will perform data gathering for ROIs.## Nature and Scope The Revenue Integrity Specialist will be responsible to:

A. Track and trend data on late charges, provides weekly and monthly reporting to Renown Health leaders.

B. Track and trend data on late charge root causes, providing weekly and monthly reporting to Revenue Cycle Leadership, as well as Revenue Integrity Coordinators for follow up with clinical departments.

C. Keep an issue log of findings/issues/action plans for the work queues under Specialists’ responsibility

D.

D. Identifies, researches, and analyzes charging errors and/or omissions, working collaboratively with appropriate department staff/team members to ensure that revisions/corrections are made

E. May address routine system issues, referring to non-routine matters to department leaders.

F. Prepares reports, and provides departmental summary information to the health network which is responsible for ensuring that all charges on a system wide basis are being captured and charged appropriately

G. Assists interdepartmental teams in troubleshooting accounts that are being held for billing in edits due to charging/documentation discrepancies

H. Specialists will assist with management and maintenance of SNOW tickets.

I. Interface with IT for maintenance tickets.

This position does not provide patient care### Disclaimer The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.##

Minimum Qualifications Requirements
- Required and/or Preferred|
** Name** |
** Description** || --- | --- ||

Education:

| Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's Degree preferred. ||

Experience:

| Medical terminology experience preferred. Two years in hospital revenue cycle with knowledge of charging practices preferred. Coding and claims edit experience required. || License(s): | None || Certification(s): | None || Computer / Typing: | Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and…