Coordinator, PB Revenue Integrity-Operations-BHC-#13696

Broward Health Corporate Spectrum

Shift: Shift 1

FTE: 1.000000

JOB SUMMARY:

Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial prevention. Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines. Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. Completes assigned reports timely and accurately. May be required to travel between locations. Responsible for maintaining documentation regarding charge capture processes including technology components and personnel interactions to allow for organizational clarity & accountability. Performs regular reviews of process adherence and identifies missing charges. Works with other key stakeholders regarding impacts of system change requests and upgrades on charging processes to ensure continued capture accuracy. Provides oversight of reconciliation processes for all assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Handles charge entry, charge approvals, edits and/or charge reviews for identified service lines including but not limited to, appending modifiers, and checking clinical documentation

Education: Associate’s degree in Healthcare or Business Administration, related field required

Experience: 3 years of related experience required

Credentials: RHIT Registered Health Information Technician; RHIA Registered Health Information Administrator; CCS Certified Coding Specialist; or CPC Certified Professional Coder, required and (Healthcare Compliance Certification) preferred.

Visit us online at www.BrowardHealth.org or contact Talent Acquisition 

*Bonus Exclusions may apply in accordance with policy HR-004-026

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.