Revenue Integrity Specialist Job at Novant Health

Novant Health Winston-Salem, NC 27103

Overview:
The Revenue Integrity Specialist reviews patient medical records to assess for appropriate charge entry for Emergency Department of the Novant system. This function includes applying coding principles for correct charging including, Infusion/Injection Hierarchy, other CPT guidelines and E/M rules. Physicians and other providers are queried for missing or unclear documentation to support the charge process. E/M charge parameters are entered directly and separately billable procedures are identified and charged accordingly.

If you have any additional questions, please contact us at 800-890-5420 and reference your case number listed above. We are providing this email to detail the resolution of your request. Please accept or reject the notification. Upon acceptance your case will be closed. If you choose to reject the resolution, I will respond to your case within 24-48 business hours. If no actions are taken, your case will automatically close.
Qualifications:
  • Education: High School Diploma or GED, required.
  • Experience: Minimum of two years of healthcare experience or completion of RHIA/RHIT/CPC training program, required. Two years of customer service experience in a clinic setting, preferred.
  • Licensure/Certification: CPC(A) or RHIT/RHIA within 18 months of hire, required.
  • Additional skills required: Excellent Customer service skills. Working knowledge of current Procedure Technology (CPT coding). Ability to effectively communicate and work with physicians, staff and team members. Outstanding written and verbal communications skills. Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle essential. Ability to adapt to frequent changes – in work assignment, environment and/or regulations. Ability to drive/travel to multiple facilities/locations as needed.
  • Additional skills preferred: Clinical experience and/or hospital based billing experience.
Responsibilities:
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
  • Our team members are part of an environment that fosters teamwork, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".



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