UofL Health

ED Revenue Integrity Specialist II - REMOTE, First Shift

Job Locations US-KY-Louisville
Job ID
2024-43370
Category
ULH-Finance/Accounting/PFS/Rev Cycle
Department
HEALTH INFO MGMT [856200]
Job Type
Regular

Overview

WE ARE HIRING!

 

Location: REMOTE

 

Shift Options: Full Time, 40 hrs per week/ 5 - 8 hour days - REMOTE

 

About UofL Health

UofL Health is a not-for-profit (501(c)(3)) fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, more than 250 physician practice locations, and more than 1,200 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.

Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.UofLHealth.org.

 

 

Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

 

Job Summary

This position is responsible for performing daily revenue integrity audits and charge reconciliation to support the accurate and timely capture of Emergency Department (ED) charges. Daily monitoring of patient board and review of census and discharges to ensure that required documentation is present to facilitate charge capture. Daily review and processing of ED facility level charges, ED procedures, injections, infusion, other administrations, and pre-bill edits. Interacts as needed with internal customers to include but not limited to hospital staff, ED care providers and leadership, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure overall UofL Health success.

Responsibilities

  • Timely review and capture of emergency department (ED) facility level charges.
  • Maintain productivity standards by ensuring that ED charge capture remains current or entered within 3 days of patient discharge.
  • Maintain overall financial viability for UMC Revenue Cycle through collaboration and effective communication with ED care providers and leaders as well as coding, billing, and other charge entry staff.
  • Collaborate with care providers to resolve missing documentation needed to accurately capture ED charges.
  • Research and resolve billing and coding issues for ED pre-bill edits to ensure timely filing of clean claims and overall reduction of discharge, not final bill (DNFB) status.
  • Maintain productivity standards by working to resolve outstanding ED-related pre-bill edits timely.

Qualifications

Education:

• Minimum high school education or GED required.

 

Experience:
• Experience related to charging for Infusion and Injection medications and ED Leveling is preferred.
• Ability to maintain confidentiality of sensitive information required.
• ED Revenue Integrity Specialist II requires the upkeep of one of the following nationally accepted Certified Coding Credentials (I.e., RHIT, RHIA, CPC, CPC-H, CCA, CCS, or CCS-P). 
• Prior experience ED facility coding, a plus

• Minimum 1 year ED leveling experience with a Certified Coding credential required

 

Benefits & Perks
• Competitive Pay & Benefits Options
• Paid Vacation, Sick days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
• 401K with Employer Match

 

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