Revenue Integrity Specialist

at  Novant Health

Overview:
The Revenue Integrity Specialist reviews patient medical records to assess for appropriate charge entry for Emergency Department of the Novant system. This function includes applying coding principles for correct charging including, Infusion/Injection Hierarchy, other CPT guidelines and E/M rules. Physicians and other providers are queried for missing or unclear documentation to support the charge process. E/M charge parameters are entered directly and separately billable procedures are identified and charged accordingly.
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Qualifications:

• Education: High School Diploma or GED, required.
• Experience: Minimum of two years of healthcare experience or completion of RHIA/RHIT/CPC training program, required. Two years of customer service experience in a clinic setting, preferred.
• Licensure/certification/registration: CPC(A) or RHIT/RHIA within 18 months of hire, required.
• Additional skills required: Excellent Customer service skills. Working knowledge of current Procedure Technology (CPT coding). Ability to effectively communicate and work with physicians, staff and team members. Outstanding written and verbal communications skills. Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle essential. Ability to adapt to frequent changes – in work assignment, environment and/or regulations. Ability to drive/travel to multiple facilities/locations as needed.
• Additional skills preferred: Clinical experience and/or hospital based billing experience.

Responsibilities:

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of “First Do No Harm”.

Please refer the Job description for details