Revenue Integrity Coordinator - HIM Revenue Integrity

UNC Health Care; Eastowne (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A prominent healthcare provider in North Carolina is looking for a Revenue Integrity Coordinator. The role involves managing compliance and operational processes within the revenue integrity program. Ideal candidates will have a background in medical billing and coding, along with a relevant degree. This full-time role offers remote capabilities and significant responsibilities in ensuring efficiency across the healthcare system.

Qualifications

• Bachelor's degree in a related field required.
• Seven years of progressive experience in Revenue Cycle preferred.
• Extensive knowledge of medical coding and compliance.

Responsibilities

• Engage revenue cycle leaders to identify missed charges.
• Drive operational workflow with accountability in charge capture.
• Advise on billing, coding, and compliance issues.

Skills

Research complex coding and regulatory requirements

Knowledge of Correct Coding Initiative (CCI) edits

Results-oriented with deadline management

Self-motivated and detail-oriented

Effective verbal and written communication

Understanding of overall hospital revenue cycle functions

Education

Bachelor's degree in an appropriate discipline

Associates degree with 7 years' experience

High School diploma with 11 years' experience

Job description

Overview

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

Summary:

The Revenue Integrity Coordinator will be responsible for the daily operational processes of the UNC Health Care System Revenue Integrity Program. This position will report to the Health Care System Manager of Revenue Integrity and Charge Master. Additionally, the Coordinator is responsible for ensuring processes are conducted efficiently and in a high quality manner to meet service level agreement (SLA) expectations and regulatory standards for Revenue Integrity.

Responsibilities

• Actively engage Revenue Cycle leaders, Clinical Liaisons, and other team members to proactively identify opportunities to avoid missed charges and/or incorrectly charged services and to provide education as it pertains to changes in charge practices and medical necessity, in accordance with local/national guidelines.
• Drive operational workflow with accountability within charge capture/review, DNB edits, CCI/OCE and other pre/post bill edit processing, OBSV review/carve-outs, and Infusion & Injection for meeting established quality and productivity goals while seeking ways to improve the efficiency and accuracy of associated work functions (both direct and indirect) across the health care system.
• Advise and collaborate with the Revenue Integrity Leadership to analyze, review and assess identified billing, coding, charging, and compliance issues.
• Responsible for providing team members with the tools and training needed to effectively meet these goals.
• Serve on work teams associated with advancing the revenue cycle strategy of the health care system upon request. Such participation may require travel, including overnight travel to affiliate locations.

Qualifications and Requirements

Education Requirements:

• Bachelor's degree in an appropriate discipline.
• Associates degree in an appropriate discipline. Seven (7) years of progressive experience in related field. Highly prefer Revenue Cycle experience.
• High School diploma with eleven (11) years of progressive experience in related field. Highly preferred Revenue Cycle Management experience.

Knowledge/Skills/and Abilities Requirements:

• Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as coding guidelines. Extensive knowledge of Correct Coding Initiative (CCI) edits, CPT, HCPCS, ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance) required.
• Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment; Proficient in time management with superior prioritization skills.
• Must be self-motivated and detail oriented with strong analytical and critical-thinking skills.
• Effective verbal and written communication skills with the ability to professionally present information to all levels of management.
• Understanding of overall hospital revenue cycle functions.

Job Details

• Legal Employer: NCHEALTH
• Entity: Shared Services
• Organization Unit: HIM Revenue Integrity
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Salary Range: $26.59 - $38.23 per hour (Hiring Range)
• Pay offers are determined by experience and internal equity
• Work Assignment Type: Remote
• Work Schedule: Day Job
• Location of Job: US:NC:Chapel Hill
• Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.