Certified Revenue Integrity Specialist

Cleveland Clinic Foundation; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking a Revenue Integrity Specialist to ensure compliance with charge capture and billing processes. This remote role involves facilitating Revenue Cycle Management, conducting audits, and assisting with coding guidelines. The ideal candidate must have a high school diploma, relevant coding experience, and a certification in CPC, COC, RHIT, RHIA, or CCS.

Qualifications

• Minimum two years of CPT, HCPCS, and ICD-10 CM coding and/or medical billing experience.
• One required certification: CPC, COC, RHIT, RHIA, or CCS.
• Healthcare experience and understanding of payer regulations.

Responsibilities

• Facilitate Revenue Cycle Management by identifying charge capture opportunities.
• Assist management with coding guidelines for new procedures.
• Perform prospective audits to promote accurate billing practices.

Skills

Charge capture

Billing processes

Auditing

CPT coding

ICD-10 CM coding

Healthcare regulations

Education

High School Diploma or GED

Job description

A company is looking for a Revenue Integrity Specialist to ensure compliance with charge capture and billing processes in a remote setting.

Key Responsibilities

• Facilitate Revenue Cycle Management by identifying charge capture opportunities and conducting audits
• Assist management with coding guidelines for new procedures to ensure compliance
• Perform prospective audits and reconcile charge capture activities to promote accurate billing practices

Required Qualifications

• High School Diploma or GED required
• Minimum two years of CPT, HCPCS, and ICD-10 CM coding and/or medical billing experience
• One required certification: CPC, COC, RHIT, RHIA, or CCS
• Healthcare experience and understanding of payer regulations are required
• Experience in providing education and trend analysis related to revenue and reimbursement