Revenue Integrity Coding Specialist

Saint Joseph Health System (Indiana); South Bend (IN); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Daily Pay

Job summary

Saint Joseph Health System is seeking a Remote Revenue Cycle Analyst focused on denial prevention. You will perform in-depth analysis of patient clinical and billing data, develop action plans, and coordinate with intra-team and cross-departmental members to improve documentation, coding and charge capture.

The role requires RHIA/RHIT/CCS/CPC or similar credentials, a minimum of three years in hospital or physician practice revenue cycle work, and strong medical terminology knowledge.

Qualifications

• Requires RHIA, RHIT, CCS, CPC/COC or other coding credential.
• Three years of relevant coding and charge control experience in a hospital/physician practice setting.
• Strong working knowledge of medical terminology, data entry, and revenue cycle processes.

Responsibilities

• Perform in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention opportunities and develop action plans.
• Promote revenue cycle operational efficiency, data integrity, and regulatory compliance; coordinate denial management with team members and other departments.

Skills

Revenue cycle

Denial prevention

Data analysis

Medical terminology

Education

RHIA

RHIT

CCS

CPC/COC

High school diploma

Tools

Coding guidelines

Charge capture

Billing systems

Job description

Flexible Schedule

Responsible for Urology, Hematology Oncology, and Wellness and Weight Management practices.

Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today!

Why Saint Joseph Health System?

• At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.

Employment Type

Full time

Shift

Day Shift

Description

Location: 100% Remote

Status: Full Time- 40 hours

Flexible Schedule

Responsible for Urology, Hematology Oncology, and Wellness and Weight Management practices.

Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today!

Job Summary

• Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention. Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines. Responsible for working complex denial coordination with intra-team members to identify root cause. Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. Completes assigned reports timely and accurately. May be required to travel between locations within the Region.

JOB SPECIFICATIONS AND CORE COMPETENCIES

• Education: High school diploma or equivalent combination of education and experience.
• Licensure: RHIA, RHIT, CCS, CPC/COC or other coding credential required.
• Experience: Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.

What We Offer

• Tuition reimbursement for all full and part-time colleagues effective first day of employment
• 100% paid tuition for ASN to BSN program (paid directly to learning partner)
• Benefits day one (Including: Medical, Dental, Vision, PTO, Life, STD/LTD, etc.)
• Retirement savings account with employer match
• Generous paid time off program + 7 paid holidays
• NO mandatory overtime
• Employee referral incentive program
• State of the art equipment, unlimited CEU's and supportive team approach

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.