Sr. Revenue Integrity Liaison

Experience the advantages of real career change

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success.

Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.

Remote

Primarily responsible for providing charge management support for Diagnostic Radiology, along with assisting with Interventional Radiology, Invasive Neurovascular, Nuclear Medicine, and Cardiology service lines.

Plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies from the provision of patient care to final bill generation. With responsibility for the most complex clinical departments and practices and acting with a high degree of autonomy, performs various audits with a focus on revenue cycle integrity.

Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, as well as well-developed analytic and organizational skills. Provides oversight to junior analysts to ensure deadlines are met and projects are completed. This position is responsible for providing assistance in maintaining systems, processes, and workflows for the timely and accurate recording of hospital revenue regarding charge capture.

Serves as a facility liaison to PHC hospital staff as it relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and maintained. Using knowledge of state and federal guidelines, this position monitors compliance and ensures timely entry of patient charges. This position maximizes charge efficiency through:(1) Monitoring revenue cycle processes and staff functions, (2) Supporting PHC's revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates, (3) Assisting in the design and implementation of charge capture/billing workflow improvements.

Education

• Bachelor’s Degree from a recognized college or university Required or
• In Lieu of degree six (6) years of relevant work experience will be accepted in addition to the experience requirement. Required

Work Experience

• 5 years healthcare experience in an acute care hospital setting Required or
• In lieu of degree 11 years healthcare experience in an acute care hospital setting Required
• Hospital outpatient coding experience Preferred
• Experience in hospital charging/billing or performance charge review Preferred
• RN and/or clinical operations experience Preferred
• Experience working with EPIC Preferred

Licenses and Certifications

• Certified Coder-AHIMA or AAPC AHIMA certification (e.g. RHIA, CCS, RHIT); AAPC certification (e.g. CPC, CPH, CA) Upon Hire Required or
• applicable clinical or professional certifications/licenses such as RN, RT, MT, RPH, ARRT Upon Hire Required
• Dual Hospital and Professional Coding Certification(s) (e.g., CPC, CPC-H, CCS, CCSP) Preferred

ADDITIONAL QUALIFICATIONS

Hospital outpatient coding experience preferred. Experience in hospital charging/billing or performance charge review preferred. Expert knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, Clinical charging practices, and billing regulations and practices. RN and/or clinical operations…