Revenue Integrity Specialist

Renown Health; Reno (NV); On-site; USD 70,000 - 90,000; Full time

Job summary

Renown Health is seeking a Revenue Integrity Specialist to document and support charge capture practices across the health system. The role focuses on data gathering for chargemaster maintenance, charge documents, and ensuring timely billing to maximize reimbursement.

Responsibilities include tracking late charges, reporting to leaders, maintaining issue logs, and collaborating with departments to correct charging issues. Proficiency in Microsoft Office is required.

Qualifications

• Bachelor's Degree preferred.
• Medical terminology experience preferred.
• Two years in hospital revenue cycle with knowledge of charging practices preferred.
• Coding and claims edit experience required.
• License(s): None
• Certification(s): None
• Proficient with Microsoft Office Suite (Outlook, PowerPoint, Excel, Teams, Word) and Access.

Responsibilities

• Track and trend data on late charges with weekly and monthly reporting.
• Provide data-driven reports to Revenue Cycle Leadership and coordinators.
• Maintain an issue log for findings and action plans.
• Identify, research, and analyze charging errors and omissions with cross-team collaboration.
• Address routine system issues; refer non-routine matters to department leaders.
• Prepare departmental reports to ensure charges are captured system-wide.
• Assist with troubleshooting accounts on holds for billing due to discrepancies.
• Support SNOW ticket management and interface with IT for maintenance tickets.

Education

Bachelor's degree

Medical terminology experience

Two years hospital revenue cycle experience

Coding and claims edit experience

Tools

Microsoft Office Suite

Access

Job description

Position Purpose

The Revenue Integrity Specialist is responsible for documenting and supporting the charge capture practices for Renown Health System. The Specialist will support the data gathering for the review and maintenance of the hospital and professional chargemasters, charge documents, and charge capture processes. The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational reimbursement. The specialist will perform data gathering for ROIs.

Nature and Scope

The Revenue Integrity Specialist Will Be Responsible To

• Track and trend data on late charges, provides weekly and monthly reporting to Renown Health leaders.


• Track and trend data on late charge root causes, providing weekly and monthly reporting to Revenue Cycle Leadership, as well as Revenue Integrity Coordinators for follow up with clinical departments.


• Keep an issue log of findings/issues/action plans for the work queues under Specialists’ responsibility

D. D. Identifies, researches, and analyzes charging errors and/or omissions, working collaboratively with appropriate department staff/team members to ensure that revisions/corrections are made.

• May address routine system issues, referring to non-routine matters to department leaders.


• Prepares reports, and provides departmental summary information to the health network which is responsible for ensuring that all charges on a system wide basis are being captured and charged appropriately


• Assists interdepartmental teams in troubleshooting accounts that are being held for billing in edits due to charging/documentation discrepancies


• Specialists will assist with management and maintenance of SNOW tickets.


• Interface with IT for maintenance tickets.

This position does not provide patient care.

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred

Description

Education: Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's Degree preferred.

Experience

Medical terminology experience preferred. Two years in hospital revenue cycle with knowledge of charging practices preferred. Coding and claims edit experience required.

License(s)

None

Certification(s)

None

Computer / Typing

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Computer literacy, including word processing, spreadsheet applications, database management and Microsoft office (Access).