Revenue Integrity Specialist

Job summary
The Revenue Integrity Specialist reviews patient medical records to assess for appropriate charge entry for Emergency Department of the Novant system.Applying coding principles for correct charging including, Infusion/Injection Hierarchy, other CPT guidelines and E/M rules.Physicians and other providers are queried for missing or unclear documentation to support the charge process.
Job seniority: mid-to-senior level
Responsibilities
• Review patient medical records to ensure appropriate charge entry for Emergency Department• Apply coding principles for correct charging including Infusion/Injection Hierarchy, CPT guidelines, and E/M rules• Query physicians and other providers for missing or unclear documentation• Enter E/M charge parameters and identify separately billable procedures• Ensure quality care and service in every dimension• Promote diversity and inclusion in the organization• Communicate and work effectively with physicians, staff, and team members• Demonstrate outstanding written and verbal communication skills• Work independently with minimal supervision• Adapt to frequent changes in work assignment, environment, and regulations
Requirements
• High School Diploma or GED required• Minimum of two years of healthcare experience or completion of RHIA/RHIT/CPC training program required• Two years of customer service experience in a clinic setting preferred• CPC(A) or RHIT/RHIA certification required within 18 months of hire• Excellent customer service skills• Working knowledge of current Procedure Technology (CPT coding)• Ability to drive/travel to multiple facilities/locations as needed
Key Skills Needed
• Excellent Customer service skills• Working knowledge of current Procedure Technology (CPT coding)• Ability to effectively communicate and work with physicians, staff and team members• Outstanding written and verbal communications skills• Ability to work independently with minimal supervision• Self-audit of work and awareness of impact on revenue cycle essential• Ability to adapt to frequent changes – in work assignment, environment and/or regulations• Ability to drive/travel to multiple facilities/locations as needed• Clinical experience and/or hospital based billing experience