Revenue Integrity Coding Splst - USFTGP RCO

Tampa General Hospital; Lincoln Gardens (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Revenue Integrity Coding Specialist responsible for managing coding and revenue integrity reporting. The role requires strong knowledge of CPT, ICD-10, and HCPCS coding systems, along with a certification as a Professional Coder. The specialist will collaborate with various teams to ensure effective coding practices and optimal billing processes.

Qualifications

• Minimum four (4) years' experience in related healthcare field.
• Experience coding in a healthcare provider setting (at least two years).
• Maintain a greater than 95% accuracy rate during coding assessments.

Responsibilities

• Manage revenue integrity daily reporting impacting coding.
• Identify edit trends and collaborate across teams.
• Ensure consistent charge capture and billing for optimal reimbursement.

Skills

Knowledge of CPT coding systems

Knowledge of ICD-10 coding systems

Knowledge of HCPCS coding systems

Excellent verbal communication skills

Attention to detail

Organizational skills

Education

High School Diploma or GED

Certified Professional Coder (CPC)

Tools

MS Office

Job description

Job Description - Revenue Integrity Coding Splst - USFTGP RCO (25000219)

Job Description

Revenue Integrity Coding Splst - USFTGP RCO - ( 25000219 )

Description

The Revenue Integrity Coding Specialist will be primarily responsible for managing revenue integrity daily reporting impacting coding, charge capture edits and denials in EPIC. Identifies edit trends and collaborate within revenue cycle, clinical, IT and compliance teams to implement solution. Review inquiries associated with ICD-10 and HCPCS/CPT code assignment, medical necessity, abstracted data or any other component associated with coded data that may impact the revenue cycle or data analytics. Works with the pre-AR edit team to take appropriate action to resolve the issues and communicate to the revenue cycle departments when changes need to be made. The Revenue Integrity Coding Specialist ensures a consistent charge capture and billing to promote optimal reimbursement by applying appropriate management of coding edits in a timely fashion, coordinating efforts with other areas in the revenue cycle and clinical areas and analyzing the impact of coding changes.

Qualifications

Required:

High School Diploma or GED

Certification

Certified Professional Coder - CPC or

Work Experience and Additional Information

Minimum of four (4) years' experience in related healthcare field, such as coding, provider billing, medical records, charge audit environment or revenue cycle, required. At least two (2) years experience should be coding in a healthcare provider setting. Coders are held to high standard, best practices are to achieve a greater than 95% accuracy rate during coding assessments.

Technical Knowledge, Skills, and Abilities

· Knowledge of CPT, ICD-10 and HCPCS coding systems, conventions and guidelines, National and Local Coverage Determinations, and encoder products.

· Knowledge of medical terminology and reimbursement methodologies.

· Proficiency with financial data with billing and reimbursement related experience.

· Excellent computer proficiency skills (MS Office - Word, Excel and Outlook).

· Strong attention to detail and exceptional follow up skills.

· Excellent verbal and written communication skills, including ability to effectively communicate with internal and external departments.

· Organizational, interpersonal, written and verbal communication skills.

· Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.

· Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.

· Demonstrated flexibility to perform other tasks as needed in an active work environment with changing work needs.

· Self-motivated to work independently and work as a team member.

Primary Location

Primary Location

: Tampa

Work Locations

Work Locations

: USF Faculty Office Building 13220 USF Laurel Dr Tampa 33612

Eligible for Remote Work : Fully Remote

Job

Job

: Accounting/Finance

Organization

Schedule

Schedule

: Full-time

Scheduled Days : Monday, Tuesday, Wednesday, Thursday, Friday