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REVENUE INTEGRITY SPECIALIST
Job Field: Legal Jobs
Location: Duarte, CA
Salary: $Not stated
Location: Duarte, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>Revenue Integrity SpecialistDepartment: PATIENT BUSINESS SERVICES-MEDRequisition ID: 1134Schedule Type: Full-TimeShift: DaysLocation: Monrovia Administrative CenterDescriptionRequisition ID:1134Job Title:Revenue Integrity SpecialistPosition Summary and Key Responsibilities:This is a high visibility role that plays a key part in the return of funds to the City of Hope through third party billing. The Revenue Integrity Specialist (RIS) is responsible for ensuring the City of Hope Charge Description Master (CDM) and processes are in compliance with Federal/State guidelines, while ensuring that the CDM is accurately reflecting all line items correctly. The RIS has overall responsibility for maintenance of CDM items and works in coordination with Government Reimbursement, Information Services, Patient Business Services, Health Information Services and clinical departments. In this role you will work collaboratively with Revenue Integrity staff in the development, execution, and follow up education to City of Hope staff. The RIS possesses a clear understanding of the hospital revenue cycle. The RIS position identifies revenue opportunities and works collaboratively with Revenue Cycle staff to develop a work plan to ensure process improvement is understood by departmental managers and staff and is documented throughout the revenue cycle with the expected outcome being increased revenue capture and decreased denials. Minimum Education and Skills Required for Consideration:* Bachelor's Degree* Minimum of two years experience working as a hospital Charge Description Master* CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) required* Must have technical knowledge of correct coding principles ofCPT/HCPCS and modifier selection as well as UB-04 revenue codes* Experience with medical record to bill reviews for charge capturing accuracy* Completion of reports for documentation of issues in Word and Excel spreadsheet formats* Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other 3rd party billing rules/coverage* Excellent written, organizational, analytical, motivational and critical thinking skills requiredAbout City of Hope:City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s 20 leading cancer centers that develops and institutes standards of care for cancer treatment.City of Hope strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Equal Opportunity / Affirmative Action Employer.
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<tr><td valign="top" width="450"><b>Revenue Integrity SpecialistDepartment: PATIENT BUSINESS SERVICES-MEDRequisition ID: 1134Schedule Type: Full-TimeShift: DaysLocation: Monrovia Administrative CenterDescriptionRequisition ID:1134Job Title:Revenue Integrity SpecialistPosition Summary and Key Responsibilities:This is a high visibility role that plays a key part in the return of funds to the City of Hope through third party billing. The Revenue Integrity Specialist (RIS) is responsible for ensuring the City of Hope Charge Description Master (CDM) and processes are in compliance with Federal/State guidelines, while ensuring that the CDM is accurately reflecting all line items correctly. The RIS has overall responsibility for maintenance of CDM items and works in coordination with Government Reimbursement, Information Services, Patient Business Services, Health Information Services and clinical departments. In this role you will work collaboratively with Revenue Integrity staff in the development, execution, and follow up education to City of Hope staff. The RIS possesses a clear understanding of the hospital revenue cycle. The RIS position identifies revenue opportunities and works collaboratively with Revenue Cycle staff to develop a work plan to ensure process improvement is understood by departmental managers and staff and is documented throughout the revenue cycle with the expected outcome being increased revenue capture and decreased denials. Minimum Education and Skills Required for Consideration:* Bachelor's Degree* Minimum of two years experience working as a hospital Charge Description Master* CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) required* Must have technical knowledge of correct coding principles ofCPT/HCPCS and modifier selection as well as UB-04 revenue codes* Experience with medical record to bill reviews for charge capturing accuracy* Completion of reports for documentation of issues in Word and Excel spreadsheet formats* Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other 3rd party billing rules/coverage* Excellent written, organizational, analytical, motivational and critical thinking skills requiredAbout City of Hope:City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s 20 leading cancer centers that develops and institutes standards of care for cancer treatment.City of Hope strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Equal Opportunity / Affirmative Action Employer.
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