Division Revenue Integrity Specialist Remote Position Available In Seminole, Florida

Division Revenue Integrity Specialist Remote
Altamonte Springs, FL
AdventHealth Corporate

Job Schedule:

Full-time

Pay Range:

$21.73 – $40.42 per hour

Job ID:

25014389

Job Family:

Patient Financial Services

Shift:

1 – Day
Facilities
Benefits
Hiring Process
Hospitals, medical centers and facilities need more than physicians, nurses and specialists delivering care to our patients. A truly successful health care organization needs a thoughtful, dedicated, steady and experienced team working behind the scenes to make sure communities around the country receive the health care they need.
If you’ve also been interested in working in the health care field but aren’t a health care provider, a corporate career at AdventHealth may just be the perfect fit. We’re a faith-based health care organization headquartered in Altamonte Springs, Florida. As a national leader in quality, safety and patient satisfaction, our 92,000 team members maintain a long tradition of whole-person health by caring for the physical, emotional and spiritual needs of every patient.
Start your journey with a health care career at AdventHealth Corporate.
Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.
AdventHealth Corporate
All the benefits and perks you need for you and your family:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
  Joining AdventHealth is about being part

Shift :

Monday-Friday

Job Location :

Remote, Ability to travel out of state up to 10%
The role you will contribute:
The Division Revenue Integrity Specialist works collaboratively in a team environment to proactively identify opportunities and recommend options for enhancing revenue with the support of Revenue Integrity leadership and clinical departments. This role actively communicates and presents pertinent information to various audiences particularly clinical and Revenue Integrity stakeholders. The position works with the Divisional Revenue Integrity team to develop a work plan to ensure improvements are identified and understood by clinical department management and staff to ensure expected outcomes are successful and result in identifying revenue capture opportunities. The Division Revenue Integrity Specialist will report to the Division Revenue Integrity Manager and will support the work of the Revenue Integrity Analysts. This role will continue to grow and adapt as required to achieve AdventHealth’s vision of a world-class revenue cycle.
The value you will bring to the team:

• Act as a subject matter lead over services line(s) related to charging and RI best practice.
• Two to three years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance / or relevant clinical hospital experience.
• isolate revenue leakage improvements through clinical workflow and IT (Information Technology) application optimizations
• proactively identify charging opportunities and issues for low, medium, and high complex service lines and engage with clinical departments (e.g., Clinical Operational Revenue Champions (CORC)), when applicable
• Educate Gide department charge champions on workqueue , capture revenue leakage across service lines and determine the best methods and tools for training and education.
• Work with clinical leadership related to Nursing/Staff Charge Capture deficiencies.
• Lead clinical education focused on charge capture and RI opportunities specific for service lines; work in coordination with AIT (AdventHealth Information Technology) / Clinical Informatics for additional education material (e.g., charge capture opportunities) for clinical end-users.
• Participate in new service lines, charge structure, and build considerations for the clinical (documentation criteria to trigger charge) and IT workflows (CDM and Epic Master File updates)
• Reviews and recommend updates of Epic edits; logic behind clinical department exception-based edits and Revenue Guardian workqueues for each service line.
• Identify data driven Divisional clinical revenue issues and communicate to Divisional Director
• Utilize Epic reporting tools to support operations.
• Support Divisional business growth and other Divisional projects affecting RI (Epic, Acquisitions, etc.)
• Perform other duties as assigned and volunteer for region and division team assignments; actively participate in team projects and implement changes.

The expertise and experiences you’ll need to succeed:
2 years of applicable experience
Excellent written, organizational, communication, and critical thinking skills.
Advanced knowledge of Microsoft applications including Word, Excel, Visio, Outlook, and PowerPoint
Customer service oriented, timely in responses to requests for service/information
Manages multiple and complex tasks, priorities, and people.
Works independently when necessary and possesses leadership skills.
Must enjoy working in a fast-paced, collaborative, team-based environment.
Ability to travel within state and out of state up to 10%

Preferred Qualifications:

Bachelor’s in Business, Accounting, Finance, Health Administration, or another related field Preferred
Preferred licensure includes coding credentials (e.g., COC, CPC, CCS, RHIT, RHIA, etc.) and / or Active clinical license (e.g., MA, LPN, RN, Pharm Tech, PharmD) Preferred
2 years of healthcare revenue cycle experience with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance, and Hospital / Professional Billing Or relevant clinical hospital experience. Preferred
Epic experience Preferred
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category:

Patient Financial Services

Organization:

AdventHealth Corporate

Schedule:

Full-time

Shift:

1 – Day

Req ID:

25014389
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Internal Employees Apply Here
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.