1 Years | Days | 40 hour GTD | Weekend schedule to be determined by facility
Coordinator SBO Revenue Integrity- FULLY REMOTE
This position is responsible for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) at Bay Area Hospital, in coordination with our Epic Community Connect partners. Supports clinical departments responsible for working decentralized edits. Is responsible for working and resolving edits assigned to Revenue Integrity. Serves as a resource to both internal departments and the Community Connect chargemaster team and will help with identifying CPT codes, revenue codes or payer specific charging requirements for services provided.
High school graduate or equivalent - REQUIRED
Minimum of 3 years of HOSPITAL (HB) and PROFESSIONAL (PB) chargemaster hands on work experience in healthcare revenue cycle - REQUIRED
Recent experience with hospital charge capture workflows, charge master maintenance, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) code and Revenue Codes REQUIRED
Must know what work queues are and how to fix in Epic/very hands on and must know all components of CDM and maintenance of CDM- REQUIRED
Must understand and have experience with MUEs and CCI Edits- REQUIRED
Experience with Epic, 3M EMR and RI- Required
ARCR: Resolute Hospital Billing & Charging - REQUIRED
ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding - REQUIRED
