Revenue Integrity Specialist

Pullman Regional Hospital; Renton (WA); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Medical & Vision

Dental Coverage

Health Savings Account

Paid Time Off

Life Insurance

Long-Term Disability

Retirement Matching

Voluntary Benefits

EAP Services

Job summary

Pullman Regional Hospital is seeking a Revenue Integrity Specialist to support the organization’s revenue cycle by ensuring accurate charge capture, billing, and reimbursement using Epic and other systems. You will review charge edits, monitor work queues, and assist with CDM maintenance to improve billing accuracy and reduce denials.

Key duties include resolving charging discrepancies, documenting actions in Epic, and collaborating with clinical and revenue cycle teams to ensure compliance with

Qualifications

• Two+ years in hospital revenue cycle or medical billing/coding.
• Strong CPT/HCPCS knowledge and payer guidelines.
• Experience with Epic billing system.
• High school diploma or equivalent.

Responsibilities

• Monitor and resolve Epic work queues related to charge review and billing exceptions.
• Research and resolve charging discrepancies prior to claim submission.
• Correct charging errors in Epic while complying with policies.
• Document findings in Epic and tracking systems.
• Review charge reconciliation reports for missing or duplicate charges.
• Verify services are properly charged and billed.
• Collaborate with clinical departments to resolve discrepancies.
• Review and resolve claim edits related to coding and payer requirements.
• Support audits of charge capture and billing accuracy.
• Collaborate with Coding and Patient Financial Services to resolve issues.

Skills

CPT/HCPCS knowledge

Billing accuracy

Communication skills

Epic knowledge

Education

High school diploma or equivalent

Tools

Epic billing system

Job description

Pay Range: The base pay range for this position is $26.36-$38.27 Hourly however, base pay offered may vary depending on job-related knowledge, skills, and experience.

Job Title: Revenue Integrity Specialist

Work Schedule for this Position: Monday - Friday 8am - 5 pm

About the Team: Become part of an inclusive organization whose goal is to improve the health and well-being of the unique communities we serve.

Company Statement: Pullman Regional is an innovative, patient-focused, multi-disciplinary based work environment where all members of the team contribute to the exceptional care of our patients and the community.

Position Overview: The Revenue Integrity Specialist is responsible for supporting the organization's revenue cycle by ensuring accurate charge capture, billing, and reimbursement through the effective use of Epic and other revenue cycle systems. This position reviews and resolves charge and claim edits, monitors Epic work queues, assists with Charge Description Master (CDM) maintenance, validates charging workflows, and collaborates with clinical and revenue cycle departments to improve billing accuracy, reduce denials, and prevent revenue leakage. The Revenue Integrity Specialist serves as a resource for departments by identifying billing issues, educating staff on charging processes, and supporting compliance with federal, state, and payer regulations.

A Day in the Life:

• Monitor and resolve assigned Epic work queues related to charge review, charge router, claim edits, and billing exceptions.
• Research and resolve charging discrepancies prior to claim submission.
• Correct charging errors within Epic while maintaining compliance with organizational policies.
• Document findings and actions taken within Epic and other designated tracking systems.
• Review charge reconciliation reports to identify missing, duplicate, or inaccurate charges.
• Verify that documented services are appropriately charged and billed.
• Collaborate with clinical departments to resolve charging discrepancies.
• Review and resolve claim edits related to coding, modifiers, medical necessity, payer requirements, and billing compliance.
• Support departmental audits related to charge capture, documentation, and billing accuracy.
• Collaborate with Coding, Patient Financial Services, Patient Access, and clinical departments to resolve billing issues.

About You!

• High school diploma or equivalent .
• Ability to read, write, and understand policies, labels, and written instructions.
• Strong knowledge of CPT/HCPCS, revenue codes, and payer billing guidelines.
• Two+ years of experience in hospital revenue cycle, chargemaster maintenance, or medical billing/coding.
• Experience with hospital billing systems Epic
• Ability to manage time, tasks, and resources appropriately.
• Excellent communication skills with colleagues and customers.

A Wow if You Have:

• Certification in coding (CPC, CCS, or equivalent.)

Company Perks:

• Medical/Vision, Dental, Health Savings Account, and Paid Leave Time Employer Paid Life Insurance and Long-Term Disability Retirement with Employer Matching Contributions Voluntary Benefits that include: Life Insurance, Critical Illness, Accident Insurance, and Short-Term Disability Services Discount and EAP Resources

A Few More Important Points: The job posting highlights the most critical responsibilities and requirements of the job. It is not all-inclusive. There may be additional duties, responsibilities, and qualifications for this job.

Disability Contacts:

Applicants with disabilities who require assistance or accommodation should contact Human Resources at [e-mail]

Pullman Regional Hospital is a critical access hospital with a physician clinic network located in Pullman, Washington, at the heart of the Palouse. We provide an array of treatment and prevention services, each at the forefront of the medical industry designed to provide the most comprehensive benefits to our patients. We're a small hospital known for big ideas and bold visions. More than 500 people are part of the Pullman Regional Hospital family; each and every individual contributes to our stellar reputation.