Texas Health Huguley FWS
Division Revenue Integrity Specialist Remote
Texas Health Huguley FWS, Altamonte Springs, Florida, United States, 32717
Job Description - Division Revenue Integrity Specialist Remote (24034525)
Job Number:
24034525
Description:
All the benefits and perks you need for you and your family:
Benefits from Day One
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
Shift:
Full-time, Monday-Friday
Job Location:
Remote - Ability to travel within state and out of state up to 10%
The role you’ll contribute:
The Division Revenue Integrity Specialist works collaboratively in a team environment to proactively identify opportunities and recommend options for enhancing revenue with the support of Revenue Integrity leadership and clinical departments. This role actively communicates and presents pertinent information to various audiences particularly clinical and Revenue Integrity stakeholders. The position works with the Divisional Revenue Integrity team to develop a work plan to ensure improvements are identified and understood by clinical department management and staff to ensure expected outcomes are successful and result in identifying revenue capture opportunities. The Division Revenue Integrity Specialist will report to the Division Revenue Integrity Manager and will support the work of the Revenue Integrity Analysts. This role will continue to grow and adapt as required to achieve AdventHealth's vision of a world-class revenue cycle.
The value that you bring to the team:
Act as a subject matter lead over services line(s) related to charging and RI best practice.
Two to three years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance / or relevant clinical hospital experience.
Isolate revenue leakage improvements through clinical workflow and IT (Information Technology) application optimizations.
Proactively identify charging opportunities and issues for low, medium, and high complex service lines and engage with clinical departments (e.g., Clinical Operational Revenue Champions (CORC)), when applicable.
Educate Gide department charge champions on workqueue, capture revenue leakage across service lines and determine the best methods and tools for training and education.
Work with clinical leadership related to Nursing/Staff Charge Capture deficiencies.
Lead clinical education focused on charge capture and RI opportunities specific for service lines; work in coordination with AIT (AdventHealth Information Technology) / Clinical Informatics for additional education material (e.g., charge capture opportunities) for clinical end-users.
Participate in new service lines, charge structure, and build considerations for the clinical (documentation criteria to trigger charge) and IT workflows (CDM and Epic Master File updates).
Reviews and recommend updates of Epic edits; logic behind clinical department exception-based edits and Revenue Guardian workqueues for each service line.
Identify data driven Divisional clinical revenue issues and communicate to Divisional Director.
Utilize Epic reporting tools to support operations.
Support Divisional business growth and other Divisional projects affecting RI (Epic, Acquisitions, etc.).
Perform other duties as assigned and volunteer for region and division team assignments; actively participate in team projects and implement changes.
Qualifications:
The expertise and experiences you’ll need to succeed:
Bachelor's Degree in Business, Accounting, Finance, Health Administration, or another related field; OR, in lieu of Bachelor's Degree, 2-5 years of applicable experience.
Preferred Qualifications:
Preferred licensure includes coding credentials (e.g., COC, CPC, CCS, RHIT, RHIA, etc.) and/or Active clinical license (e.g., MA, LPN, RN, Pharm Tech, PharmD).
Two to three years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance, and Hospital / Professional Billing or relevant clinical hospital experience.
Epic experience preferred.
Organization:
AdventHealth Corporate
Primary Location:
CP AH HEADQUARTERS VIRTUAL, Altamonte Springs 32714
Operating Unit:
AH Revenue Cycle Services
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Job Number:
24034525
Description:
All the benefits and perks you need for you and your family:
Benefits from Day One
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
Shift:
Full-time, Monday-Friday
Job Location:
Remote - Ability to travel within state and out of state up to 10%
The role you’ll contribute:
The Division Revenue Integrity Specialist works collaboratively in a team environment to proactively identify opportunities and recommend options for enhancing revenue with the support of Revenue Integrity leadership and clinical departments. This role actively communicates and presents pertinent information to various audiences particularly clinical and Revenue Integrity stakeholders. The position works with the Divisional Revenue Integrity team to develop a work plan to ensure improvements are identified and understood by clinical department management and staff to ensure expected outcomes are successful and result in identifying revenue capture opportunities. The Division Revenue Integrity Specialist will report to the Division Revenue Integrity Manager and will support the work of the Revenue Integrity Analysts. This role will continue to grow and adapt as required to achieve AdventHealth's vision of a world-class revenue cycle.
The value that you bring to the team:
Act as a subject matter lead over services line(s) related to charging and RI best practice.
Two to three years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance / or relevant clinical hospital experience.
Isolate revenue leakage improvements through clinical workflow and IT (Information Technology) application optimizations.
Proactively identify charging opportunities and issues for low, medium, and high complex service lines and engage with clinical departments (e.g., Clinical Operational Revenue Champions (CORC)), when applicable.
Educate Gide department charge champions on workqueue, capture revenue leakage across service lines and determine the best methods and tools for training and education.
Work with clinical leadership related to Nursing/Staff Charge Capture deficiencies.
Lead clinical education focused on charge capture and RI opportunities specific for service lines; work in coordination with AIT (AdventHealth Information Technology) / Clinical Informatics for additional education material (e.g., charge capture opportunities) for clinical end-users.
Participate in new service lines, charge structure, and build considerations for the clinical (documentation criteria to trigger charge) and IT workflows (CDM and Epic Master File updates).
Reviews and recommend updates of Epic edits; logic behind clinical department exception-based edits and Revenue Guardian workqueues for each service line.
Identify data driven Divisional clinical revenue issues and communicate to Divisional Director.
Utilize Epic reporting tools to support operations.
Support Divisional business growth and other Divisional projects affecting RI (Epic, Acquisitions, etc.).
Perform other duties as assigned and volunteer for region and division team assignments; actively participate in team projects and implement changes.
Qualifications:
The expertise and experiences you’ll need to succeed:
Bachelor's Degree in Business, Accounting, Finance, Health Administration, or another related field; OR, in lieu of Bachelor's Degree, 2-5 years of applicable experience.
Preferred Qualifications:
Preferred licensure includes coding credentials (e.g., COC, CPC, CCS, RHIT, RHIA, etc.) and/or Active clinical license (e.g., MA, LPN, RN, Pharm Tech, PharmD).
Two to three years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance, and Hospital / Professional Billing or relevant clinical hospital experience.
Epic experience preferred.
Organization:
AdventHealth Corporate
Primary Location:
CP AH HEADQUARTERS VIRTUAL, Altamonte Springs 32714
Operating Unit:
AH Revenue Cycle Services
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