Revenue Integrity Specialist
Position: Revenue Integrity Specialist
Job ID: 403572
Location: US-TX-Houston
Department: Revenue Integrity
Job ID: 403572
Location: US-TX-Houston
Department: Revenue Integrity
Talent Area: Professional - Non-Clinical
Full/Part Time: Full time
Regular/Temporary: Regular
Shift: 8a-5p
Full/Part Time: Full time
Regular/Temporary: Regular
Shift: 8a-5p
About Texas Children's Hospital
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.
Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 14,000+ dedicated team members, visit
texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at
infinitepassion.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Summary:
We are looking for a Revenue Integrity Specialist, someone who’s ready to grow with our company. In this position you will participate in all Revenue Integrity-related tasks and/or projects as assigned by the leader for hospital and professional billing accounts. This incumbent is also responsible for participating in initiatives to improve or optimize charge capture efficiency by utilizing knowledge of revenue cycle principles and their role in the generation of revenue to ensure accurate and compliant billing; reconciling and monitoring charges for assigned departments against source documents to ensure charges are accurately and completely captured while serving both internal and external customers.
Skills & Requirements
- Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees unless approved for a medical or religious exemption.
- Required H.S. Diploma or GED
- Preferred Licenses/Certifications
- CHRI - Certified Healthcare Revenue Integrity Professional by the National Association of Healthcare Revenue Integrity (NAHRI) Or
- CRCR - Certified Revenue Cycle Representative by the Healthcare Financial Management Association (HFMA)
- RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
- RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
- CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
- CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC
- COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
- Required 3 years Revenue Cycle experience, including but not limited to Revenue Integrity, Billing, Coding, Denials, or Patient Accounts with preferred Hospital charging, coding, and/or revenue capture functions. Professional and/or hospital billing and Epic Resolute: Work queue management, SlicerDicer
Job Duties & Responsibilities
- Performs charge review and charge reconciliation to evaluate opportunities to implement charge capture best practices.
- Identify and resolve charge errors and missing charges as identified through reporting and work queues.
- Conducts research on charge errors through the identification of root cause and communicates process improvement opportunities.
- Runs revenue analytics to support revenue monitoring, issue investigation, and resolution.
- Identifies opportunities to automate charge capture or improve on current workflow when appropriate.
- Coordinates efforts for gross charge variances with all Revenue Cycle departments as appropriate.
- Develop measures to track, trend, and monitor charge sessions.
- Provides consistent and clear feedback to the internal consultants.
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