Auditor Revenue Integrity at Huntsville Hospital Health System

Madison, Alabama, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Jun, 26

Salary

0.0

Posted On

27 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Internal Audits, Revenue Integrity, Insurance Audits, Charge Entry, Credit Processing, Charge Correction, Billing Requirements, Written Appeals, RAC Denials, Microsoft Word, Microsoft Excel, Prioritizing, Task Switching, Communication Skills, Clinical Setting, Patient Accounting

Industry

Hospitals and Health Care

Description

Overview Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials. Qualifications Minimum Knowledge, Skills and Experience required:Education:High school diploma or GED required.Alabama nursing license (RN or LPN) preferred.Prior clinical or coding experience will be considered in lieu of nursing license.Experience:Minimum of 3 years experience in hospital clinical setting, Patient Accounting, Chargemaster, coding, compliance or related field.Proficient in use of Microsoft Word and Microsoft Excel.Able to work in fast paced environment, requiring prioritizing and changing tasks frequently.Effective communication skills with internal hospital departments, customers, and other external resources. About Us Highlights of our hospitals Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities. Huntsville Hospital Benefits: We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more! Learn more about Huntsville Hospital Health System: Careers: https://careers.hhsys.org/careers-home Benefits: https://careers.hhsys.org/us/en/benefits Education & Professional Development: https://www.huntsvillehospital.org/education Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al

Responsibilities

This role involves performing internal audits of hospital accounts, processing routine insurance audits, and conducting specific audits to separate medical charges from elective cosmetic procedures. The auditor will also handle manual charge entry/credit for Pharmacy discrepancies and provide written appeals for RAC and non-RAC denials.