Description
Introduction
Do you have the career opportunities as a(an) Revenue Integrity Specialist you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital Atascosa which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Methodist Hospital Atascosa, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Revenue Integrity Specialist where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
The Revenue Integrity Specialist is primarily responsible for maintaining an accurate CDM; correctly asses and resolve billing/coding edits in the Bill 45, Bill 49, MSC and other reports to improve cash flow; improving the flow process of maintenance; working collaboratively with facility personnel, IS, management and preferred vendors; monitoring compliance with corporate, federal and state guidelines; prioritizing; maintaining timely turnaround; serving as a resource when necessary; performing periodic audits; monitoring facility charging mechanisms and systems, and participating in CDM best demonstrated practice initiatives.
What You Will Do In This Role:
* Enters appropriate billing codes by reviewing departmental and vendor documentation, films, & MD dictations to ensure accuracy of procedure, supply, and implant charges.
* Enters all procedural and implant data into facility procedure & implant spreadsheets.
* Submits estimated charges for CRM devices that are replaced while under warranty or recall and enters all data into the MHS CRM explant database.
* Reviews monthly CRM vendor reports and submits credits for the estimated charges and the actual charges for CRM devices, which are replaced while under warranty or recall after the vendors credit determination is complete.
* Working collaboratively with facility personnel and preferred vendors to obtain any additional documentation and/or information for any omissions or discrepancies in the documentation that is required for accurate billing.
What Qualifications You Will Need:
* Associate's Degree in Nursing or other related clinical profession is preferred.
* Minimum of three years related work experience in the areas of Nursing, Medical Records, Patient Billing and Chart/Bill audit preferred.
Methodist Hospital Atascosa became part of the Methodist Healthcare System family in July 2017. With over 60 beds, the hospital serves over 5 counties and is comprised of healthcare professionals with years of training and experience who bring compassion and excellence to their work.
Methodist Hospital Atascosa has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services have expanded into orthopedics, cardiology, sports medicine and urology, and will continue to grow as the area's needs increase. For more information, please visit our website at
https://sahealth.com/locations/methodist-hospital-atascosa/.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Revenue Integrity Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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