Revenue Integrity Specialist II

Cedars-Sinai Medical Center; Los Angeles (CA); On-site; USD 38,063 - 59,002; Full time

Benefits offered by this job

Health and dental insurance

Paid vacation

403(b) retirement plan

Job summary

A leading healthcare provider in Los Angeles is seeking a Revenue Integrity Specialist II to oversee coding charge posting and manage revenue integrity processes. The ideal candidate has over 4 years of revenue cycle experience with expertise in CPT and HCPCS coding. This role offers competitive pay and inclusive company values focused on innovation and community diversity.

Qualifications

• 4+ years of revenue cycle experience required.
• 3+ years of CPT & HCPCS coding experience preferred.
• Familiarity with CMS coding regulations.

Responsibilities

• Perform accurate and timely coding charge posting.
• Coordinate special projects related to revenue gaps.
• Meet productivity and quality standards.

Skills

CPT coding

HCPCS coding

Data analysis

Revenue reporting

Charge capture

Communication skills

Education

High School diploma/GED

College level courses in finance, business, or health insurance

Job description

What will you be doing in this role?

The Revenue Integrity Spec II, of Compliance and Revenue Integrity, is responsible for fact-finding, organization, and presentation of information in a manner that facilitates patient account management, revenue recognition and process improvement efforts. Serves as the single point of contact for all charging work queues issues and charge tickets. May perform recurring data compilations from varied sources to inform management team of work queue trends and late charge analysis, etc.

Under general direction of Health System Manager, may coordinate or monitor progress of special projects related to resolving identified late charge and/or revenue gaps or concerns. May require training of other CRI staff. May serve as co-administrator of the Epic HB charge review work queues that enables charge resolution. Ensures the timely completion of work assignments in accordance with established timelines. The Specialist:

• Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers)
• Maintains familiarity with such issues as CMS coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc.
• Understands and implements coding guidelines for multi-specialty practices.
• Attends seminars and workshops, as applicable, for updates on new coding rules and regulations.
• Elevates issues, as appropriate, to the Supervisor.
• Meets productivity and quality standards.
• Understands hospital coding trends by billing area, location, and provider.
• Identifies trends and issues with overall division and individual physician coding practices, as applicable.
• Follows policies and procedures pertinent to CRI & PFS Departments
• Handles all correspondence including (but limited to) documentation and files in a professional and confidential manner.
• Supports CSHS core values, policies, and procedures.

Qualifications

Requirements:

• High School diploma /GED required. College level courses in finance, business or health insurance preferred.
• A minimum of 4 years of revenue cycle experience required, preferably including data analysis, charge capture and revenue reporting.
• At least 3 years of CPT & HCPCS coding experience preferred.

Why work here?

Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.

Req ID : 12666

Working Title : Revenue Integrity Specialist II

Department : OP Charge Capture

Business Entity : Cedars-Sinai Medical Center

Job Category : Patient Financial Services

Job Specialty : Revenue Integrity

Overtime Status : NONEXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $27.63 - $42.83