Senior Revenue Integrity Clin Charge Specialist
About the role
The Senior Revenue Integrity Clinical Charge Specialist (RN or ARRT) plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder with RN or ARRT clinical expertise in the Cath Lab, IR, and EP service lines. The specialist educates specialty physicians and facility departments on coding and billing practices, consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules, and consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities. Parallon, part of HCA Healthcare, offers a work‑from‑home arrangement that requires you to live and perform duties within 60 miles of an HCA Healthcare Hospital (facilities located in FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). HCA Healthcare has committed up to $300 million in programs to support team members over three years and has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times.
Responsibilities
- Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines
- Coordinates with facility/departments to obtain missing medical record documentation as needed
- Coordinates with department leaders to identify trends and address issues related to charge capture
- Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely
- Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments
- Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance
- Provides focused education to clinical and coding stakeholders as needed
- Participates to ensure CDM/system updates result in appropriate reimbursement
- Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility
Qualifications
- Registered nursing Associates, Bachelors or Diploma required or Licensed Radiologic Technologist (ARRT) certification
- Minimum 1 year healthcare experience in an acute care hospital
- Minimum 1 year coding/HIM experience
- Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)
- Must possess an active Registered Nurse/other advanced nursing license (compact license for all states accepted) or active Radiologic Technologist certification (ARRT)
- RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date)
Benefits
- Comprehensive benefits for