Rev Integrity Audit Coord

Rev Integrity Audit Coord-23066

Location:

Chicago, Illinois
Business Unit:
Rush Medical Center
Hospital:
Rush University Medical Center
Department:
Revenue Cycle Revenue Integrity
Work Type:
Full Time (FTE 0.9–1.0)

Shift: Shift 1

Work Schedule:

8 Hr (7:00‑3:00 PM)
Pay Range: $27.47 – $43.27 per hour

Rush offers exceptional rewards and benefits. Learn more at Rush Benefits Page.

The Revenue Integrity Audit Coordinator uses advanced organizational skills to account for audit requests and ensure timely processing. This role aids other audit team members, compliance, HIM, billing, and revenue cycle team members. By developing processes and procedures to ensure accurate and timely medical records requests, tracking, and trending, the Coordinator is integral to ensuring that Rush responds to audit requests on time, directly impacting audit outcomes.

The Coordinator also provides high-level professional support to the Revenue Integrity department and exemplifies Rush’s mission, vision, and values.

• Associate’s degree or extensive years of related work experience for competency
• Minimum 5 years of healthcare experience working with billing, audits, denials, charge entry, charge capture, or CDM
• Proficient and functional knowledge of hospital and professional charges in the Epic EHR
• Advanced knowledge of medical terminology and medical billing language, including UB‑04 Revenue Codes, CPT, and HCPCS Level II with modifiers
• High level of organization, independence, and critical thinking
• Excellent written and oral communication and problem‑solving skills
• Proficiency with MS Office Suite
• High degree of accuracy and ability to collaborate with others

• AAPC or AHIMA certification

• Use logic‑based critical thinking and decision‑making to accurately enter incoming audits into the tracking tool
• Create and track medical records requests for on‑time delivery related to audits
• Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes and external audits
• Work with external vendors for all functions related to timely review of audits and documentation, including appeal determination results
• Log audit correspondence in Epic and maintain updates throughout all stages of the audit using accurate data techniques and Epic reporting
• Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in education of departments regarding audits and denials
• Serve as subject‑matter expert for team members to review questions and resolve issues related to audits and deadlines
• Meet or exceed accuracy, quality, on‑time delivery, and productivity standards
• Research current and future payor requirements for compliant billing, timely payment, and maximum reimbursement related to audits and audit prevention
• Provide input and implement process improvement initiatives to enhance efficiency, prevent audits, and increase revenue, including technology and automation opportunities
• Monitor and work accounts in Epic work queues
• Communicate, observe, and report on charge entry trends and patterns and provide recommendations for improvement
• Engage in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.