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Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital
Location:
Oklahoma City, OK
Description:
Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort. OHH offers a competitive benefits program to all team members from the first day of employment.Top Tier Benefit Packages:Medical, Dental, and Vision401 (k) planPaid Time Off (PTO)Extended Medical Benefit (EMB)OHH Financial Services: 7800 NW 85th Terrace, OKC OK 73132Full-Time, Days.Responsibilities:The Revenue Integrity Specialist is responsible for evaluating charges for hospital claims against clinical documentation to identify missing, incorrect, or late charges. Evaluates charge capture processes to comply with government and non-government rules and regulations. Works pre-bill edits related to clinical documentation, to include CCI edits, MUEs, and billing edits. Facilitates a charge reconciliation program with clinical leadership and provides communication on missing or incorrect charges, and makes recommendations on best practice.Review all system and clearing house edits for potentially missing or incorrect charges or modifiers.Utilize EMR and clearinghouse to manage claim edits to preserve revenue and ensure all charges are added correctly based on clinical documentation.Validate claims data against payer rules and regulations, and provide clean claims within five days from discharge.Provide root cause analysis and feedback on incorrect charging practices. Consult and collaborate with adjacent departments to proactively prevent revenue leakage.Assist physicians in placing the correct procedure code for procedures when ordering or rendering services.Recommend system optimization to capture frequently missed or incorrect charges.Responsible for being up-to-date and knowledgeable on coding ethics and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcomes.Qualifications:Education: High school graduate or equivalent preferred.Experience: Minimum of two (2) years in Revenue Integrity, coding, charge entry, or billing (hospital setting preferred). Knowledge of CPT/HCPCS and ICD-10 coding. Cardiology experience is a plus. AHIMA or AAPC certification is preferred.Working Knowledge: Hospital charging and billing, including CPTs, HCPCS, and Rev Codes, is required. Familiarity with medical records and clinical document is preferred. Epic experience is a plus but not required.Essential Cognitive Abilities: Requires strong communication and organizational skills. Must demonstrate independent judgment and sound reasoning ability. Ability to maintain concentration and organization while dealing with multiple issues and frequent interruptions.Interpersonal Skills: Ability to interact with other departments, physicians, hospital and practice leadership, and peers to enact proactive charge capture practices. Must be able to communicate technical and legal details to all parties involved, and provide education on focus areas.Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.Learn more about diversity at Oklahoma Heart Hospital.
Company:
Oklahoma Heart Hospital
Posted:
January 1 on WhatJobs
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More About this Listing: Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital
Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital is a Jobs Overview One Team All Heart Job at Oklahoma Heart Hospital located in Oklahoma City OK. Find other listings like Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital by searching Oodle for Jobs Overview One Team All Heart Jobs.
Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital is a Jobs Overview One Team All Heart Job at Oklahoma Heart Hospital located in Oklahoma City OK. Find other listings like Overview:ONE TEAM. ALL HEART. At Oklahoma Heart Hospital by searching Oodle for Jobs Overview One Team All Heart Jobs.