Revenue Integrity Specialist
Conduct audits and reviews of medical records, charge capture, and billing data to ensure accuracy and compliance with federal, state, and payer-specific regulations.
Identify missing, inconsistent, or incorrect charges and work with appropriate departments to correct errors.
Collaborate with clinical and operational departments to improve documentation and charge capture workflows.
Monitor key performance indicators (KPIs) related to revenue integrity and report findings to leadership.
Assist with the development and implementation of policies, procedures, and training programs related to revenue integrity.
Analyze trends and root causes of revenue loss or compliance risk; recommend and implement corrective actions.
Work with coding, billing, and compliance teams to ensure proper use of CPT, HCPCS, ICD-10, and other coding standards.
Stay current with changes in regulations, billing guidelines, and reimbursement models
2+ years of experience in healthcare billing, coding, compliance, and/or revenue cycle management.
Strong understanding of medical billing and collections processes.
Detail-oriented with excellent analytical and problem-solving skills.
Ability to communicate effectively with both clinical and non-clinical staff.
Proficient in EHR systems and Microsoft Office Suite.
Ability to prioritize tasks and manage time effectively in a fast-paced environment.
Recruiting Lead
LaSalle Network
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