Revenue Integrity Educator III

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional for revenue cycle management support. This role involves ensuring compliance through coding and billing education, conducting audits, and leading training initiatives. With a strong emphasis on teamwork and innovation, this position offers a rewarding career path within a supportive environment. Join a team committed to excellence and make a significant impact on healthcare delivery while enjoying a comprehensive benefits package from day one.

Benefits

PPO medical plan

Paid Time Off

Retirement programs

Paid Parental Leave

Tuition reimbursement

Wellness programs

On-site childcare

Qualifications

• 6+ years of experience in billing with focus on coding and compliance.
• Certifications required upon hire for compliance and auditing.

Responsibilities

• Lead billing integrity projects and develop training for compliance.
• Conduct audits and provide education on coding and reimbursement.

Skills

Coding Compliance

Billing Auditing

Healthcare Regulations

Training Development

Education

High School Diploma

Bachelor's Degree

Tools

CPC Certification

CCS Certification

CPMA Certification

CMC Certification

Job description

WHY UT SOUTHWESTERN?
UT Southwestern, with over 75 years of excellence in Dallas-Fort Worth, Texas, is dedicated to innovation, teamwork, and compassionate care. As a leading medical and research center, we offer our employees opportunities for growth, development, and comprehensive benefits, including healthcare, PTO, on-site childcare, and merit increases. Join our team to experience a culture of professionalism and rewarding careers.

JOB SUMMARY

1. Revenue Cycle Management Support: Research coding, documentation, and reimbursement inquiries from physicians and clinical departments to ensure compliance and optimal reimbursement. Prepare responses, conduct quality assurance reviews, and monitor team queues for timely resolution.
2. New Provider Education: Conduct standardized onboarding education for new providers across various specialties, perform pre-bill reviews, and develop training materials to ensure accurate coding and documentation practices.
3. Clinical Department Education: Develop and deliver presentations on coding, billing compliance, and audit findings, including case studies and practical examples.
4. Billing Compliance Reviews: Conduct independent reviews of medical record documentation to support billing accuracy, develop solutions for compliance risks, and lead billing integrity projects with minimal supervision.
5. Additional Responsibilities: These include participating in quality improvement initiatives, developing training programs, and supporting audits and education efforts.

BENEFITS

UT Southwestern offers a competitive benefits package including:

• PPO medical plan from day one at no cost for employee-only coverage
• 100% preventive healthcare coverage
• Paid Time Off from day one
• Retirement programs through TRS
• Paid Parental Leave, wellness programs, tuition reimbursement, and more
• Learn more about employee benefits

REQUIREMENTS

Minimum:

• High School Diploma or equivalent
• 6 years of experience in a professional billing environment with emphasis on coding, auditing, and compliance
• Certifications such as CPC, CCS, CMC, or CPMA upon hire

Preferred:

• Bachelor's Degree
• RN license upon hire

JOB DUTIES

• Lead billing integrity projects, develop and deliver training, conduct post-onboarding reviews, and perform medical record audits to ensure compliance and optimize reimbursement.
• Research coding and reimbursement policies, support audits, and provide education to staff and providers.
• Support and conduct billing compliance audits, develop action plans, and monitor improvements.
• Perform other duties as assigned.

SECURITY AND EEO STATEMENT

This position is security-sensitive and subject to Texas Education Code 51.215. UT Southwestern is an equal opportunity employer committed to diversity and prohibits discrimination based on race, religion, gender, age, disability, and other protected statuses.