HIM Coding Lead: Revenue Integrity Specialist

Nebraska Medicine; United States; On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Tuition assistance up to $5,000/year

35% discount at Clarkson College

Career advancement opportunities

Job summary

Nebraska Medicine is seeking an experienced Revenue Integrity Specialist to audit and improve coding accuracy and revenue capture. This role partners with leadership, clinical departments, and compliance to optimize the hospital's billing processes.

Ideal candidates have at least three years in revenue integrity, a HIM-related degree, and AHIMA certification. The position is full-time in Nebraska with Education Support and growth opportunities within the Health Information Management Department.

Qualifications

• Minimum three years of experience in revenue integrity in a hospital or healthcare setting or coding required.
• Bachelor's degree in health information management (HIM), business or other healthcare related field or equivalent combination of education/experience (two years' experience in health information management equals one year of education) required.
• Current knowledge of revenue cycle processes and hospital/ medical billing required.
• Understanding of components of electronic medical record required.
• Current knowledge of code data sets to include CPT, HCPCS, ICD-10-CM, and ICD-10-PCS.
• Current knowledge of NCCI edits, and Medicare LCD/NCDs required.
• Interpersonal and communication skills, analytic and organizational skills, critical -thinking and the ability to meet deadlines required.
• Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet required.
• Applicable professional certification through AHIMA; RHIA, RHIT, CCS, or CCA or AAPC; CPC-H, COC-H required.

Responsibilities

• Conducts audit/review activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment.
• Supports education to applicable leadership, implementation support and serves as a facility liaison to Nebraska Medicine's staff as it relates to billing system issues.
• As part of the Health Information Management Department, reporting directly to the Revenue Integrity Manager, this position has collaborative relationships with Patient Financial Services, Clinical Departments, and Compliance.
• Conducts special projects and studies to facilitate revenue management as required.

Skills

Revenue integrity

Coding knowledge

Analytical skills

Communication skills

Education

Bachelor's degree in health information management (HIM) or related field

AHIMA certification (RHIA/RHIT/CCS/CCA) or CPC-H

Tools

EPIC HB/PB

Job description

Nebraska Medicine is seeking an experienced Revenue Integrity Specialist to audit and improve coding accuracy and revenue capture. This role partners with leadership, clinical departments, and compliance to optimize the hospital's billing processes.

Ideal candidates have at least three years in revenue integrity, a HIM-related degree, and AHIMA certification. The position is full-time in Nebraska with Education Support and growth opportunities within the Health Information Management Department.