Job Information
Trinity Health Revenue Integrity Account Specialist in South Bend, Indiana
Employment Type:
Full time
Shift:
Day Shift
Description:
Revenue Integrity Account Specialist - Fully Remote
Why Saint Joseph Health System?
At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.
About the job:
The Revenue Account Specialist performs analysis of patient clinical and billing data to identify documentation, coding and charging opportunities. Works pre-bill edits and collaborations with intra-departmental team members to identify root cause. Assists with compliance education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging or all services provided. Completes assigned reports timely and accurately.
What we offer:
NO mandatory overtime
Benefits first day of employment (including: medical, dental, vision, PTO, life, STD/LTD)
Daily Pay
Retirement savings account with employer match
Generous paid time off programs
Employee referral incentive program
Tuition/professional development reimbursement
Nursing Scholarship opportunities
State of the art equipment
Supportive team approach
Requirements:
Education: Most possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelors degree in healthcare or Business administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
Licensure: RHIA, RHIT, CCS, CPC/COC or other coding credentials strongly preferred. CDC (healthcare compliance Certification) preferred
Experience: Three (3) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities.
Experience: Two to three years' experience in charge entry and coding in the medical office setting is preferred. Must have a working knowledge of CPT, ICD-10 and HCPCS coding guidelines. Advanced knowledge of the registration process and insurance requirements.
Other Job Requirements: proficiency with MS Excel, Access, Business Objects highly desired, and strong level competency with Word and PowerPoint.
Must possess a demonstrated knowledge of clinical processes; charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers)
Knowledge of Ambulatory Payment Classification (APC), and Outpatient prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharge Note Final Billed (DNFB)
Our system includes:
• 254-bed acute-care hospital at the Mishawaka Medical Center
• 58-bed acute-care hospital at the Plymouth Medical Center
• More than 85 providers in the Saint Joseph Physician Network
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran