Revenue Integrity Specialist

e4health; Little Rock (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated professional to enhance healthcare operations through effective revenue integrity and billing solutions. In this role, you will tackle complex data issues, support production applications, and ensure accurate charge capture. Your expertise in coding and healthcare platforms will be vital in driving quality and efficiency. Join a passionate team committed to empowering better health and making a meaningful impact in the healthcare sector. This is an exciting opportunity to utilize your skills in a collaborative and innovative environment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short/Long Term Disability Insurance

PTO Policy

401(k) with Company Match

Qualifications

• 3-5 years of experience in revenue integrity and billing in healthcare.
• Advanced knowledge of coding and payer reimbursement methodologies.

Responsibilities

• Provide support and maintenance for production applications.
• Analyze and resolve complex data and system issues.
• Develop and execute comprehensive test plans.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Analytical Skills

Problem-Solving Skills

Communication Skills

Collaboration Skills

Education

Bachelor’s degree in Health Information Management

Business Administration or related field

Tools

Patient Accounting Systems

Healthcare Platforms

Job description

Job Description

ABOUT US

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

JOB SUMMARY/ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides routine support and maintenance support to current production, and non-production, applications as assigned
• Identifies, analyzes, and resolves data and system issues of advanced complexity
• Gathers requirements, develops specifications, prepares, and reviews documentation
• Develops, validates, and executes comprehensive test plans
• Communicates effectively, negotiates changes, and assists in prioritization of tasks with client
• Reconcile charges against source documents to ensure that charges have been captured completely and accurately
• Encounter Billing Exception Worklist coordination
• Daily Charge Error Worklist Analysis
• Review and resolve all assigned edits
• Work with appropriate team members and clinical teams to ensure that revisions/corrections forwarded and incorporated in processing systems in timely manner
• Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented
• May be considered the Subject Matter Expert in their area of application or domain
• Provide knowledge transfer and mentoring to team members as necessary
• Understands and complies with all enterprise and IS departmental information security policies, procedures, and standards
• Works with key project team members to define requirements, design the functional solution, identify and resolve project issues, and ensure the IT solution meets requirements
• Builds positive relationships with business operations, IT&S leadership, and vendors
• Documents requirements defines scope and objectives, and formulates systems to parallel overall business strategies

Client Required Qualifications

REQUIRED QUALIFICATIONS:

• Bachelor’s degree in Health Information Management, Business Administration, or related field (or equivalent experience)
• Minimum 3-5 years of experience in revenue integrity, charge entry, coding, or billing in a healthcare setting
• Advanced knowledge of CPT, HCPCS, ICD-10 coding, and payer reimbursement methodologies
• Advanced experience with patient accounting systems and healthcare platforms
• Strong analytical, auditing, and problem-solving skills
• Excellent communication and collaboration abilities
• Able to establish and meet delivery dates
• Ability to manage multiple projects and issues adjusting priorities as needed
• Strong analytical and technical skills with ability to analyze issues, assess technical risks, and recommend sound solutions in a timely manner
• Adeptness to learn new assignments, technologies, and applications quickly and manage multiple assignments simultaneously
• Strong problem and issue resolution experience and create quality deliverables

KEY SUCCESS ATTRIBUTES:

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiativewith strong drive for results and success
• Demonstrate commitment to a team environment
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability
• Meeting Standards

Additional Information

BENEFITS (ELIGIBLE TO FULL TIME EMPLOYEES ONLY):

We offer an excellent salary, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

401(k) ELIGIBILITY:

e4health offers a retirement benefits package including 401(k) with company match.

• Full-time employees will be eligible to contribute to a 401(k)-retirement account after successfully completing 90 days of employment.

• Part-time employees will be eligible to contribute to a 401(k)-retirement account after completing 250 hours of worktime.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is requiredover90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

PAY RANGE

Pay range for this position is $55-85/hr.

e4health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

At our organization, we believe in the principles of pay transparency to foster a fair and equitable workplace for all employees. In alignment with this commitment, we openly communicate salary ranges, bonus structures, and additional financial benefits associated with each position. We believe that transparency in compensation not only promotes trust and accountability but also helps mitigate wage gaps and biases. By providing clear and comprehensive information about compensation in our job descriptions, we aim to create a transparent and inclusive environment where all employees feel valued and respected. Join us in building a culture of fairness and transparency as we strive for excellence together.