Holy Cross Health
Revenue Integrity Specialist
Holy Cross Health, Silver Spring, Maryland, United States, 20900
Overview
Revenue Integrity Specialist at Holy Cross Health. Employment Type: Full-time. Shift: Day Shift. Description: The specific responsibility of this position is to serve as the revenue liaison between the revenue cycle management division, reimbursement department, the ancillary/clinical areas, and physician/provider areas that generate patient revenue. In particular, this position collaborates with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations, including daily charge entry, revenue reconciliation and error correction processes. It evaluates current charge capture systems and processes against regulatory guidelines and billing documentation requirements, and makes recommendations for enhancements to the Revenue Informatics Director. For approved system enhancements or implementation projects related to charge capture, this position serves as the project coordinator, communicating regulatory protocols and ensuring data guides major implementation decisions. In planning revenue system changes, the Revenue Liaison acts as a resource and advisor to Trinity (Unified Revenue Organization, Physician Network Operations, Trinity Information Services), keeping the project team informed of Maryland-specific compliance regulations that may impact system functionality. Job Title: Revenue Integrity Specialist Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Responsibilities
Collaborate with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations, including daily charge entry, revenue reconciliation and error correction processes. Evaluate current charge capture systems and processes against regulatory guidelines, billing documentation requirements, and lead hospital and physician practices; make recommendations for enhancement to the Revenue Informatics Director. Coordinate enhancements or implementation projects related to charge capture, communicating regulatory protocols and ensuring data guides all major implementation decisions. Serve as a resource and advisor to Trinity, keeping the project team apprised of Maryland-specific compliance regulations that may impact the hospital’s ability to leverage system functionality. Provide support, when requested, to other revenue cycle system implementation projects. Create implementation strategies and data production, working with vendors and Trinity Health representatives to ensure objectives are achieved and projects deliver improvements. Coordinate between Reimbursement, Patient Accounting, Patient Access, and Physician Practice Integration Departments to guide clinical departments in selecting and implementing appropriate charge processes. Other duties as assigned by the Director, Revenue Informatics. What You Will Need
Bachelor's degree in Statistics, Information Systems, Economics or related discipline Master's degree in Statistics, Information Systems, Economics (strongly preferred) 2-4 years of experience working in data in Statistics, Information Systems, Economics fields 2-4 years of progressive experience in revenue cycle operations and related healthcare regulatory requirements; project management and system conversion experience preferred Ability to organize and present information using spreadsheets and graphs; skills in documenting performance flowcharts, summaries, and presentation formats Demonstrated leadership ability and team-oriented relationships with hospital staff and leadership Strong analytical skills and ability to multi-task Excellent written and verbal communication skills Thorough knowledge of current trends and best practices in performance improvement and revenue cycle concepts Experience with information systems as they apply to revenue cycle operations and health information systems; knowledge of McKesson and Cerner products preferred Pay Range
$32.12-$48.18 Pay is based on experience, skills, and education. Exempt positions under the FLSA will be paid within the base salary equivalent of the stated hourly rates. The pay range may vary within the stated range based on location. About Us
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland\'s two largest counties. Holy Cross Health earns national awards and accreditations for providing high-quality health care services. We are an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by law.
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Revenue Integrity Specialist at Holy Cross Health. Employment Type: Full-time. Shift: Day Shift. Description: The specific responsibility of this position is to serve as the revenue liaison between the revenue cycle management division, reimbursement department, the ancillary/clinical areas, and physician/provider areas that generate patient revenue. In particular, this position collaborates with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations, including daily charge entry, revenue reconciliation and error correction processes. It evaluates current charge capture systems and processes against regulatory guidelines and billing documentation requirements, and makes recommendations for enhancements to the Revenue Informatics Director. For approved system enhancements or implementation projects related to charge capture, this position serves as the project coordinator, communicating regulatory protocols and ensuring data guides major implementation decisions. In planning revenue system changes, the Revenue Liaison acts as a resource and advisor to Trinity (Unified Revenue Organization, Physician Network Operations, Trinity Information Services), keeping the project team informed of Maryland-specific compliance regulations that may impact system functionality. Job Title: Revenue Integrity Specialist Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Responsibilities
Collaborate with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations, including daily charge entry, revenue reconciliation and error correction processes. Evaluate current charge capture systems and processes against regulatory guidelines, billing documentation requirements, and lead hospital and physician practices; make recommendations for enhancement to the Revenue Informatics Director. Coordinate enhancements or implementation projects related to charge capture, communicating regulatory protocols and ensuring data guides all major implementation decisions. Serve as a resource and advisor to Trinity, keeping the project team apprised of Maryland-specific compliance regulations that may impact the hospital’s ability to leverage system functionality. Provide support, when requested, to other revenue cycle system implementation projects. Create implementation strategies and data production, working with vendors and Trinity Health representatives to ensure objectives are achieved and projects deliver improvements. Coordinate between Reimbursement, Patient Accounting, Patient Access, and Physician Practice Integration Departments to guide clinical departments in selecting and implementing appropriate charge processes. Other duties as assigned by the Director, Revenue Informatics. What You Will Need
Bachelor's degree in Statistics, Information Systems, Economics or related discipline Master's degree in Statistics, Information Systems, Economics (strongly preferred) 2-4 years of experience working in data in Statistics, Information Systems, Economics fields 2-4 years of progressive experience in revenue cycle operations and related healthcare regulatory requirements; project management and system conversion experience preferred Ability to organize and present information using spreadsheets and graphs; skills in documenting performance flowcharts, summaries, and presentation formats Demonstrated leadership ability and team-oriented relationships with hospital staff and leadership Strong analytical skills and ability to multi-task Excellent written and verbal communication skills Thorough knowledge of current trends and best practices in performance improvement and revenue cycle concepts Experience with information systems as they apply to revenue cycle operations and health information systems; knowledge of McKesson and Cerner products preferred Pay Range
$32.12-$48.18 Pay is based on experience, skills, and education. Exempt positions under the FLSA will be paid within the base salary equivalent of the stated hourly rates. The pay range may vary within the stated range based on location. About Us
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland\'s two largest counties. Holy Cross Health earns national awards and accreditations for providing high-quality health care services. We are an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by law.
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