Coordinator-Revenue Integrity

Job Summary

Job Summary: The Coordinator-Revenue Integrity is responsible for managing multiple billing work queues (WQs) which requires an understanding of not only basic billing processes but also knowledge of research billing requirements, Medicare rules and regulations, Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client agreements. Proficient knowledge of charge master components (CPT codes, HCPC’s, Revenue codes, Cost Centers) required.

Performs other duties as needed.

Education and Experience: Bachelor s Degree in Business or Health Administration preferred. Minimum three years of researching billing and coding experience in a Patient Business Office required.

Knowledge and

Skills:

Working knowledge of modern office practices and procedures and business terminology required. Knowledge of interpreting regulatory guidelines, requirements, and familiarity with research/clinical trial billing. Knowledge of research/clinical trial billing, Knowledge of CPT/HCPCS and revenue codes, hospital billing, reimbursement/payment policies, charge capture and medical terminology. Able to research and interpret regulatory laws and guidance. Confident and able to present complex information to front-line, mid-level, and executive staff.

Ability to think critically, manage multiple assignments effectively, organize and prioritize workload, work well under pressure, recall information with accuracy, pay close attention to detail. Able to read; write legibly; speak in English with professional quality; use computer and software programs necessary to the position. Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies;

work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction. Works independently with minimal supervision; perform basic math functions; and problem solve. Able to distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace/patient care; see adequately to read computer screens, medical records, and written documents necessary to position;

discern temperature variances through touch.

Licensures and Certifications
:
None.