Xtensys
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Revenue Integrity Specialist
role at
Xtensys
About Us Xtensys, a recently established managed service provider, delivers cutting‑edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway.
Job Summary The Revenue Integrity Specialist is responsible for performing and implementing charge capture and process improvement initiatives to optimize performance and improve revenue management. This position is also responsible for managing charge edits, conducting root cause analysis, developing corrective action plans, educating internal customers, and monitoring results. This position will collaborate with the entire Revenue Integrity Team to operationalize our client’s Revenue Integrity strategy and plan for improving revenue results across all departments.
Duties / Responsibilities
Acts as subject matter expert for all questions concerning charging and charge reconciliation.
Determines and executes the best approach for timely resolution of accounts with edits.
Responsible for accuracy and compliance of accounts in terms of charge edits.
Possesses a working knowledge of institutional and professional claim forms.
Enters appropriate information into patient accounting system to ensure accurate account documentation.
Maintains current knowledge of Federal, State and Managed Care billing methodologies, rules and regulations.
Understands hospital charge capture process and compliance issues and has the ability to provide resolution by performing research, utilizing third party payor regulations, referencing billing guidelines and CMS guidelines.
Identifies root cause of issues related to charge edits and coordinates efforts with hospital departments to minimize recurring edits related to billing and registration.
Identifies automation opportunities.
Meets performance, productivity and quality goals metrics.
Attends and participates in department staff meetings and other meetings as assigned.
Responsible for escalating issues and trends to Revenue Integrity Director.
Special projects as assigned.
Required Skills / Abilities
Minimum of high school diploma/GED with 5 years’ revenue cycle experience 2 of them in a Revenue Integrity Role or
Associate's degree with 2 years’ Revenue Cycle Experience.
Experience
Minimum of five (5) years’ billing, coding, or revenue cycle experience in an institutional setting.
Medical terminology with working knowledge of ICD-10, CPT and HCPCS codes.
Experience using Microsoft Office suite including Word and Excel.
Professional Coding or Billing experience is a plus.
Epic experience a plus.
Licensure
Billing or coding certification preferred.
Physical Requirements
Lifting up to 20 pounds, standing or sitting for extended periods of time, as well as repetitive use of hands and fingers.
Seniority Level Mid-Senior level
Employment Type Full-time
Job Function Accounting / Auditing and Finance
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Xtensys by 2x
Location Get notified about new Revenue Specialist jobs in
Ithaca, NY .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Revenue Integrity Specialist
role at
Xtensys
About Us Xtensys, a recently established managed service provider, delivers cutting‑edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway.
Job Summary The Revenue Integrity Specialist is responsible for performing and implementing charge capture and process improvement initiatives to optimize performance and improve revenue management. This position is also responsible for managing charge edits, conducting root cause analysis, developing corrective action plans, educating internal customers, and monitoring results. This position will collaborate with the entire Revenue Integrity Team to operationalize our client’s Revenue Integrity strategy and plan for improving revenue results across all departments.
Duties / Responsibilities
Acts as subject matter expert for all questions concerning charging and charge reconciliation.
Determines and executes the best approach for timely resolution of accounts with edits.
Responsible for accuracy and compliance of accounts in terms of charge edits.
Possesses a working knowledge of institutional and professional claim forms.
Enters appropriate information into patient accounting system to ensure accurate account documentation.
Maintains current knowledge of Federal, State and Managed Care billing methodologies, rules and regulations.
Understands hospital charge capture process and compliance issues and has the ability to provide resolution by performing research, utilizing third party payor regulations, referencing billing guidelines and CMS guidelines.
Identifies root cause of issues related to charge edits and coordinates efforts with hospital departments to minimize recurring edits related to billing and registration.
Identifies automation opportunities.
Meets performance, productivity and quality goals metrics.
Attends and participates in department staff meetings and other meetings as assigned.
Responsible for escalating issues and trends to Revenue Integrity Director.
Special projects as assigned.
Required Skills / Abilities
Minimum of high school diploma/GED with 5 years’ revenue cycle experience 2 of them in a Revenue Integrity Role or
Associate's degree with 2 years’ Revenue Cycle Experience.
Experience
Minimum of five (5) years’ billing, coding, or revenue cycle experience in an institutional setting.
Medical terminology with working knowledge of ICD-10, CPT and HCPCS codes.
Experience using Microsoft Office suite including Word and Excel.
Professional Coding or Billing experience is a plus.
Epic experience a plus.
Licensure
Billing or coding certification preferred.
Physical Requirements
Lifting up to 20 pounds, standing or sitting for extended periods of time, as well as repetitive use of hands and fingers.
Seniority Level Mid-Senior level
Employment Type Full-time
Job Function Accounting / Auditing and Finance
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Xtensys by 2x
Location Get notified about new Revenue Specialist jobs in
Ithaca, NY .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr