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agreement (SLA) expectations and regulatory standards for Revenue Integrity.
Responsibilities:
Actively engage Revenue Cycle leaders, Clinical Liaisons, and other team members to proactively identify opportunities to avoid missed charges and/or incorrectly charged services and to provide education as it pertains to changes in charge practices and medical necessity, in accordance with local/national guidelines.
Drives operational workflow with accountability within charge capture/review, DNB edits, CCI/OCE and other pre/post bill edit processing, OBSV review/carve-outs, and Infusion & Injection for meeting established quality and productivity goals while seeking ways to improve the efficiency and accuracy of associated work functions (both direct and indirect) across the health care system.
Advises and collaborates with the Revenue Integrity Leadership to analyze, review and assess identified billing, coding, charging, and compliance issues.
Responsible for providing team members with the tools and training needed to affectively meet these goals.
Serve on work teams associated with advancing the revenue cycle strategy of the health care system upon request. Such participation may require travel, including overnight travel to affiliate locations.
Other Information
Other information:
Education Requirements:
? Bachelor?s degree in an appropriate discipline.
Licensure/Certification Requirements:
Professional Experience Requirements:
? Three (3) years of progressive experience in related field. Highly prefer Revenue Cycle experience.
? Associates degree in an appropriate discipline. Seven (7) years of progressive experience in related field. Highly prefer Revenue Cycle experience.
? High School diploma with eleven (11) years of progressive experience in related field. Highly preferred Revenue Cycle Management experience.
Knowledge/Skills/and Abilities Requirements:
? Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as coding guidelines. Extensive knowledge of Correct Coding Initiative (CCI) edits, CPT, HCPCS, ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance) required. Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment; Proficient in time management with superior prioritization skills. Must be self-motivated and detail oriented with strong analytical and critical-thinking skills. Effective verbal and written communication skills with the ability to professional present information to all levels of management. Understanding of overall hospital revenue cycle functions.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Revenue Integrity
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $26.59 - $38.23 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.