Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) ([...]

USC Rossier Global Executive Ed.D.; Alhambra (CA); Remote; USD 95,000 - 159,000; Full time

Job summary

USC Rossier Global Executive Ed.D. is seeking a Senior Revenue Integrity Specialist to lead charge capture and ensure compliance. This role involves maintaining the Charge Description Master, supervising auditors, and collaborating across departments to optimize revenue cycle processes. The ideal candidate will have extensive healthcare experience and relevant certifications.

Qualifications

• At least 5 years of healthcare experience, including coding, billing, or revenue cycle management.
• Knowledge of inpatient and outpatient billing requirements.

Responsibilities

• Maintain and update the Charge Description Master (CDM).
• Lead meetings with stakeholders to address compliance.
• Supervise revenue auditors, providing training and leadership.

Skills

Healthcare Management

Compliance

Data Analysis

Education

Associate's degree in Business

Bachelor's degree (e.g., BSN)

Tools

MS Office

Job description

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Join us as a Senior Revenue Integrity Specialist at USC Rossier Global Executive Ed.D. to lead charge capture and ensure compliance across the organization.

Position Overview

The Revenue Integrity (RI) Specialist provides leadership in maintaining the Charge Description Master (CDM) across Keck Medical Center of USC. Responsibilities include ensuring data accuracy, compliance with coding and billing regulations, and facilitating communication among departments to optimize revenue cycle processes.

Key Responsibilities

1. Maintain and update the CDM, ensuring compliance with Medicare and third-party payers.
2. Lead meetings with stakeholders to address compliance and process improvements.
3. Coordinate with IT, Compliance, and Clinical staff on projects impacting revenue integrity.
4. Supervise revenue auditors, providing training and leadership.
5. Generate reports and analyze data to support charge capture and billing accuracy.
6. Develop policies and procedures for charge management and compliance.

Minimum Qualifications

• Associate's degree in Business, Accounting, Finance, Healthcare Administration, or Nursing.
• Certification as a Certified Coder (CPC/CCS).
• At least 5 years of healthcare experience, including coding, billing, or revenue cycle management.
• Knowledge of inpatient and outpatient billing requirements and CMS reimbursement methodologies.
• Proficiency in MS Office and Windows.

Preferred Qualifications

• Bachelor's degree (e.g., BSN).
• Experience with hospital Chargemaster systems like Craneware or MedAssets.
• Knowledge of hospital charging practices and coding principles.

Licenses/Certifications

• Certified Professional Coder (CPC) or relevant clinical license.
• Fire Life Safety Training (LA City) within 30 days of hire.

Salary Range

$95,680 - $158,230 annually, based on experience and qualifications.