What are the responsibilities and job description for the REVENUE INTEGRITY SPECIALIST position at Catholic Health?
Overview :
Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
Job Details :
The responsibility of this position is to serve as the revenue liaison between the revenue cycle management departments, the hospital and ambulatory departments, and any physician / provider area that generates revenue for the professional component. This position is responsible for collaborating with department revenue leads and staff to ensure accurate charge capture operations are in place to include daily charge capture, revenue reconciliation and error correction processes.
DUTIES / RESPONSIBILITIES :
- Provides guidance and communication on correct charge capture and billing processes to clinical department and facilities.
- Perform periodic reviews and assessments of charge capture for PRC Departments.
- Identifies trends and participates in the resolution of revenue / charge related issues.
- Identifies opportunities for capturing additional revenue in accordance with payer guidelines.
- Develops specifications to modify existing charge capture applications to reduce charge-related claim edits / rejections.
- Coordinates and assists with research and implementation of charge capture processes for new services and / or new / updated technology.
- Works with Coding and clinical departments to identify / resolve errors based on ICD / CPT Coding Guidelines and National Correct Coding Initiative edits.
- Responds to departmental charging inquiries timely.
- Leads meetings to discuss charge capture findings.
- Assists in developing revenue integrity training documentation and policies for training and education within the Revenue Integrity team and departments providing physician services.
- Performs other duties as assigned.
POSITION REQUIREMENTS AND QUALIFICATIONS :
Education :
Skills :
Experience :
Posted Salary Range :
USD $80,000.00 - USD $86,000.00 / Yr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidates qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses / incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
Salary : $80,000 - $86,000
