Sr Revenue Integrity Clinical Charge Specialist

Overview

The Senior Revenue Integrity Clinical Charge Specialist with Revenue Integrity plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder with RN or ARRT clinical expertise in the Cath Lab, IR, and EP service lines. The Senior RI Clinical Charge Specialist educates specialty physicians and facility departments on coding and billing practices.

Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free Air Med medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Note:

Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Revenue Integrity family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Sr Revenue Integrity Clinical Charge Specialist to help us reach our goals. Unlock your potential!

The Senior Revenue Integrity Clinical Charge Specialist (RN or ARRT) plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder with RN or ARRT clinical expertise in the Cath Lab, IR, and EP service lines. The Senior RI Clinical Charge Specialist educates specialty physicians and facility departments on coding and billing practices.

Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.

• Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines
• Coordinates with facility/departments to obtain missing medical record documentation as needed
• Coordinates with department leaders to identify trends and address issues related to charge capture
• Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely
• Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments
• Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance
• Provides focused education to clinical and coding stakeholders as needed
• Participates to ensure CDM/system updates result in appropriate reimbursement
• Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility

• Registered nursing Associate’s, Bachelor’s or Diploma required or Licensed Radiologic Technologist (ARRT) certification
• Minimum 1 year healthcare experience in an acute care hospital
• Minimum 1 year coding/HIM experience
• Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)
• Must possess an active Registered Nurse/other advanced nursing license (compact license for all states accepted) or active Radiologic Technologist certification (ARRT)
• RHIA or RHIT or CPC or COC or CCS, or CIRCC…