Revenue Integrity Trainer & Compliance Educator

The University of Texas Southwestern Medical Center

Dallas, Northern (TX, KY)

Hybrid

USD 85,000 - 110,000

Full time

4 days ago
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Benefits offered by this job

Healthcare benefits
PTO & Holidays
Tuition Reimbursement
Retirement Programs

Job summary

UT Southwestern Medical Center seeks a billing integrity professional to lead and deliver coding, billing and compliance training under minimal supervision. The role includes pre-bill review, audits, and collaboration with MSRDP leadership on risk areas and corrective actions.

The ideal candidate has 6 years in professional billing with coding/auditing experience and holds CPC, CCS, CMC, and CPMA certifications; a Bachelor's degree is preferred.

Qualifications

  • 6 years of experience in a professional billing environment with emphasis on coding, auditing and/or compliance responsibilities
  • Education: High School Diploma or equivalent; Bachelor's degree preferred
  • Licenses and Certifications: CPC, CCS, CMC, CPMA upon hire; RN upon hire preferred

Responsibilities

  • Serves as a professional billing integrity project leader, developing and delivering coding, billing and compliance trainings under minimal supervision.
  • Performs post-onboarding pre-bill review of professional charges and provides feedback to providers.
  • Conducts independent reviews of medical record documentation to support coding and reduce compliance risk.
  • Researches policy questions to ensure payer and government regulation compliance and optimal reimbursement.
  • Completes audits and education with the Compliance Office and monitors action plans to ensure improvements.

Skills

Billing
Auditing
Compliance
Training

Education

High School Diploma
Bachelor's Degree

Job description

UT Southwestern Medical Center seeks a billing integrity professional to lead and deliver coding, billing and compliance training under minimal supervision. The role includes pre-bill review, audits, and collaboration with MSRDP leadership on risk areas and corrective actions.

The ideal candidate has 6 years in professional billing with coding/auditing experience and holds CPC, CCS, CMC, and CPMA certifications; a Bachelor's degree is preferred.

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