Revenue Integrity Coordinator- HIM Revenue Integrity

340B Health; Chapel Hill (NC); Remote; Full time

Job summary

340B Health is seeking a Revenue Integrity Coordinator responsible for managing operational processes within the Revenue Integrity Program. This role involves engaging with leaders, analyzing billing processes, and providing training to ensure compliance and efficiency. Applicants should possess a Bachelor's degree and a minimum of 3 years relevant experience.

Qualifications

• Minimum of 3 years in a related field, preferably in Revenue Cycle.
• Equivalent experience considered with Associate's degree (7 years) or High School diploma (11 years).

Responsibilities

• Engage with Revenue Cycle leaders to prevent missed charges.
• Manage operational workflow in charge capture and billing processes.
• Collaborate to analyze and address billing and compliance issues.

Skills

Research skills for coding and regulatory requirements

Knowledge of coding edits and billing regulations

Time management

Self-motivated

Detail-oriented

Analytical

Effective communicator

Education

Bachelor's degree in an appropriate discipline

Job description

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the communities we serve.

Summary:

The Revenue Integrity Coordinator is responsible for the daily operational processes of the UNC Health Care System Revenue Integrity Program. Reporting to the Health Care System Manager of Revenue Integrity and Charge Master, the Coordinator ensures processes are conducted efficiently and in high quality to meet service level agreement (SLA) expectations and regulatory standards for Revenue Integrity.

Responsibilities:

• Engage with Revenue Cycle leaders, Clinical Liaisons, and team members to identify opportunities to prevent missed charges and incorrect billing, providing education on charge practices and medical necessity, in accordance with guidelines.
• Manage operational workflow in charge capture/review, DNB edits, CCI/OCE, and other billing edit processes, aiming to meet quality and productivity goals while improving efficiency and accuracy.
• Collaborate with Revenue Integrity Leadership to analyze and address billing, coding, and compliance issues.
• Provide team training and tools to meet revenue integrity goals.
• Participate in work teams to advance revenue cycle strategies, with potential travel including overnight stays.

Other Information:

Education Requirements: Bachelor's degree in an appropriate discipline.

Experience Requirements: Minimum of 3 years in a related field, with a preference for Revenue Cycle experience. Equivalent experience can be considered with an Associate's degree (7 years) or a High School diploma (11 years).

Skills and Abilities: Strong research skills for coding and regulatory requirements, extensive knowledge of coding edits and billing regulations (Medicare, Medicaid, third-party payers), results-oriented with excellent time management, self-motivated, detail-oriented, analytical, and effective communicator.

Job Details:

• Legal Employer: NCHEALTH
• Entity: Shared Services
• Organization Unit: HIM Revenue Integrity
• Work Type: Full Time
• Hours per week: 40
• Salary Range: $26.59 - $38.23/hour, based on experience and internal equity
• Work Location: Remote, Chapel Hill, NC
• Work Schedule: Day Job
• Exempt from overtime: Yes

This position is employed by NC Health, a subsidiary of UNC Health Care System, providing shared services across UNC Health Care. Qualified applicants will be considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Reasonable accommodations are available upon request.