[Remote] Revenue Integrity Auditor - Professional Billing (PB)

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Note: The job is a remote job and is open to candidates in USA. ECU Health is a mission-driven academic health care system serving over 1.4 million people in eastern North Carolina. They are seeking a Revenue Integrity Auditor to perform charge capture reconciliation audits, report findings, assist in corrective action plans, and maintain compliance with billing regulations.


Responsibilities

  • Ensure compliance of the ECU Health Charge Capture Reconciliation Policy is upheld by each revenue generating department across the system
  • Lead, develop and facilitate a robust audit program that continuously monitors the usage of charge reconciliation reports and charge review work queues
  • Maintain facility specific scorecards to include corrective action plans for non-compliant departments as well as recognition of departments and individuals who are meeting or exceeding their reconciliation and work queue expectations
  • Escalate non-compliant departments to designated Leadership and work with appointed individuals to ensure corrective action plans and/or training are being administered and improvement in compliance rates have been achieved
  • Work with Revenue Integrity leadership to conduct a monthly Revenue Integrity Audit Scorecard Read-Out to each facility's leadership
  • Share monthly audit results and corrective action plans with finance and clinical leadership
  • Remain up-to-date on Third Party Billing Regulations by reviewing regulatory/contractual updates and communications. Must be able to utilize this information in the decision making process of implementing accurate and compliant charge capture. Charges that are not accurate or compliant can cause billing errors and result in a payback or in the cases of investigative audits by the OIG or other agencies, financial damages
  • Answer all questions regarding the appropriateness of charging for services and products. Must be able to function independently. Communication on charging issues must be provided in a professional and customer service oriented manner
  • Keep up-to-date on EPIC or other related EAP software functionality. Should be able understand the hospital billing system processes and related clinical systems so charges are correctly updated in all systems. Must be able to use Excel or other necessary software to manipulate, summarize, and analyze data

Skills

  • 3 - 4 years of experience required
  • Demonstrated ability to manage, teach, make independent decisions and assume responsibility
  • Strong interpersonal communication skills, verbal and written
  • Ability to communicate and work effectively with all levels of staff
  • Working knowledge and experience with PC-based applications, i.e. Word, Excel, PowerPoint, Outlook
  • Ability to function as a leader, team member and execute the desired outcomes
  • Must exhibit creative, positive problem-solving abilities
  • Ability to foster collaboration between multiple parties
  • Ability to plan, organize and effectively present ideas and concepts to groups
  • Ability to think conceptually and apply concepts in a practical application
  • Ability to assimilate information from a variety of sources, analyze information, and determines a course of action
  • Ability to consider diverse opinions and incorporate them into the decision-making process
  • Commitment to a high standard of customer service
  • Bachelor's Degree preferred
  • RHIA/RHIT certification preferred
  • Hospital Billing Charging and/or Coding Experience is preferred

Benefits

  • Great Benefits

Company Overview

  • We come to work every day in order to help you and the 1.4 million people like you across eastern North Carolina. It was founded in undefined, and is headquartered in Greenville, North Carolina, US, with a workforce of 10001+ employees. Its website is http://www.ECUHealth.org.

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