Revenue Integrity Specialist

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $16.00- $19.40/hr based on experience By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Revenue Integrity Specialist is responsible for reviewing all assigned work queues (charge, accounts, and claims edits) and for making all necessary corrections. Notify manager of any identified trends or issues which require follow up. This role must possess analytical and problem solving skills and demonstrates initiative and resourcefulness in researching and resolving revenue integrity related issues. The Revenue Integrity Specialist is expected to manage their time effectively, prioritize and perform tasks accurately, and meet set deadlines. is expected to meet and/or exceed all productivity and quality standards established by the department and to support the organization in meeting its financial goals. Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations., Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation., Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Responsibilities: The Revenue Integrity Specialist will be responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process. The Revenue Integrity Specialist will accurately document services performed and will use the appropriate codes representing those services. Examine and resolve errors identified through Epic work queues (account, charge, & claims edit) related to charge capture practices for Ensemble clients. Reviews the medical record to ensure that the documentation supports services charged and follow up with the clinical departments to add any missing documentation. Prevent revenue loss via identifying & resolving system and human errors that could potentially lead to missing or incorrect charge capture. Review processes and workflow to enhance accurate and timely charging and eliminate late and incorrect charging. Investigates and reports to management all potential charge capture issues and assist with finding resolution. Meet or exceed department productivity and quality standards. Work closely with Ensemble clients to establish and maintain positive relations to ensure their revenue capture goals are achieved. Maintain working knowledge of CPT codes, CCI & MUE edits, & other Medicare billing and charge capture rules. Provide education on CPT codes changes, charge capture workflows, late and incorrect charges, charge capture compliance, payer contracts, and government rules, & regulations. Experience We Love: 2 years related experience required Excellent knowledge of Epic, Excel and SQL queries. Working knowledge of CPT & HCPCs coding guidelines. Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base. Ability to work independently, proactively with limited supervision and also as a team player when called upon. Ability to work under pressure. Ability to maintain the security of confidential information. Minimum Education: High School Diploma or GED Required Certifications: HFMA Certified Revenue Cycle Representative (CRCR) within 9 months of hire #LI-LS1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights Don’t fall victim to fake job recruiting from fraudsters posing as Ensemble Health Partners Human Resources personnel. Ensemble Health Partners will never ask for a payment in exchange for a job opportunity or ask you to submit sensitive personal information via email, phone, form, app or text. Legitimate Ensemble Health Partners recruiters will only contact you from an email address ending in “@ensemblehp.com.” Ensemble Health Partners is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.

Salary : $16 - $19