Manages the revenue integrity process to ensure charges are captured accurately and on time. Reviews the Charge Description Master for completeness and establishes charges for patient services, procedures, and supplies. Oversees the APC program by implementing changes and providing staff education. Works independently and provides consultation to departments and entities.
Requirements & Qualifications
Minimum requirements
- Bachelor's degree in business or an equivalent combination of education and relevant experience
- Current certification in one or more of the following: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H
- Experience auditing medical procedure code accuracy and completeness
- Minimum of 3 years of experience in a healthcare setting, preferably in a large acute care facility
- Strong knowledge of Medicare and Medicaid guidelines for compliance
- Experience facilitating and training both large and small groups, as well as one-on-one training
- Ability to communicate effectively with departments that interface with the Charge Description Master
- Ability to collect and analyze cost data and prepare reports using computers and various software databases
Preferred qualifications
- Auditing certification
- Extensive experience with healthcare billing and reimbursement guidelines
- Charge audit experience
Location
Kansas City, Missouri, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago