Responsible for Revenue integrity analytics prior and post billing, including charge description master (CDM) maintenance, centralized charge control, pre-bill edits, appropriate revenue and reimbursement, and denial prevention. Manages and monitors results, data analysis, root cause issues, and assists departments with corrective action plans. Builds collaborative relationships with leadership and stakeholders including HAMS, billing, HIMS, IT, Charge champion, and supply chain. Motivates clinical charge champions to maximize revenue and prevent revenue deficits. Responsible for contract management applications including variance monitoring, cash collection opportunities, and revenue integrity compliance.
Bachelor's degree (BA or BS) required. Minimum 3 years recent patient billing experience. Extensive knowledge of billing and medical terminology, strong financial aptitude, detail-oriented, excellent follow-through, proficient in Microsoft Excel. Extensive understanding of correct coding principles of CPT/HCSPCS, modifier selection, CCI edits, and billing guidelines. Preferred credentials include RHIA, RHIT, CHRI, CPC/COC, CPC-H, or other coding certifications.
- Bachelor's degree (BA or BS) required
- Minimum 3 years recent patient billing experience
- Ability to read, write, and communicate in English
- Extensive knowledge of billing and medical terminology
- Strong financial aptitude
- Detail oriented with excellent follow-through skills
- Proficient in Microsoft Excel
- Extensive understanding of coding principles (CPT/HCSPCS), modifier selection, CCI edits, and billing guidelines
- Preferred credentials: RHIA, RHIT, CHRI, CPC/COC, CPC-H or similar
- Work schedule: Monday to Friday, 8 AM to 4 PM
- Day shift with 7.5 scheduled daily hours
- Salary range between $65,000 and $80,000 annually
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$65,000 - $80,000
Remote work allowed
No
Posted
3 weeks ago