Pharmacy Revenue Integrity Specialist

UAB Medicine; Birmingham (AL); On-site; USD 58,000 - 94,000; Full time

Benefits offered by this job

Educational assistance

Generous paid time off

Wellness programs

Parental leave

Public Service Loan Forgiveness (PSLF)

Job summary

UAB Medicine in Birmingham, AL is seeking a Pharmacy Revenue Cycle Specialist to oversee charge capture and CDM activities, drive audits and data analyses for accurate billing, and collaborate across Pharmacy Operations, Informatics, and Revenue Cycle teams.

The role focuses on compliance, process improvement, and system enhancements to optimize reimbursement and regulatory alignment in a large academic health system.

Qualifications

• Bachelor's degree in Business Administration, Accounting, Finance or a related field.
• Three (3) years of experience in revenue cycle management or related experience required.
• RHIA, RHIT, CCS, CPC/COC/CIC, AAPC, or other coding credentials required; CRCS certifications preferred.

Responsibilities

• Audit and monitor pharmacy charge capture activities to ensure accurate and compliant billing.
• Maintain and update the Pharmacy CDM: codes, revenue codes, pricing changes.
• Investigate and resolve billing discrepancies through review, reconciliation, and data analysis.
• Collaborate with Pharmacy Operations, Informatics, Revenue Cycle, Coding, Compliance, and IS to optimize charging workflows.
• Identify charge leakage and denial trends; recommend and implement process improvements.
• Ensure compliance with federal, state, payer, and organizational billing requirements.

Skills

Revenue cycle management

Education

Bachelor's degree in business/finance

Tools

RHIA

RHIT

CCS

CPC/COC/CIC

AAPC

CRCS

Job description

UAB Medicine in Birmingham, AL is seeking a Pharmacy Revenue Cycle Specialist to oversee charge capture and CDM activities, drive audits and data analyses for accurate billing, and collaborate across Pharmacy Operations, Informatics, and Revenue Cycle teams.

The role focuses on compliance, process improvement, and system enhancements to optimize reimbursement and regulatory alignment in a large academic health system.