Senior Pediatric Revenue Integrity Lead

Children's National Medical Center; Silver Spring (MD); Vor Ort; USD 78.000 - 129.000; Vollzeit

Zusammenfassung

Children's National Medical Center in Silver Spring, MD seeks a Senior Revenue Integrity Analyst to oversee charge workflows, ensure compliant billing practices, and resolve system/charging issues across hospital and professional services.

The role requires 4+ years in charge capture or related fields, a relevant Associate's or Bachelor’s degree, and CPC/COC certification is preferred. Strong analytical and communication skills are essential for cross-functional collaboration.

Qualifikationen

• Demonstrates excellent organizational and problem solving skills.
• Ability to delegate assignments and follow through on details is essential.
• Excellent internal and external customer service skills required.
• Must possess ability to be effective and efficient in a fast paced environment, managing multiple competing tasks and priorities.

Aufgaben

• Validate and approve access to all charge workflows and charge corrections, as directed by the CDM Supervisor.
• Provide education and in-service training to departments in collaboration with CDM Supervisor
• Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.
• Process complex CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner.
• Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments, including review of supplies, lab charges and pharmacy charges.
• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to insure compliance with regulatory guidance, per Billing and Coding industry norms.

Kenntnisse

Organizational skills

Problem solving

Customer service

Multitasking

Ausbildung

Associate's Degree

Bachelor's Degree Healthcare related field

Jobbeschreibung

Children's National Medical Center in Silver Spring, MD seeks a Senior Revenue Integrity Analyst to oversee charge workflows, ensure compliant billing practices, and resolve system/charging issues across hospital and professional services.

The role requires 4+ years in charge capture or related fields, a relevant Associate's or Bachelor’s degree, and CPC/COC certification is preferred. Strong analytical and communication skills are essential for cross-functional collaboration.