What are the responsibilities and job description for the Coord. Revenue Integrity position at University Medical Center of El Paso (UMC)?
Job Summary
The Revenue Integrity Coordinator maintains the hospital Charge Description Master file and the Physicians Fee Schedule to assure accuracy, pricing integrity, regulatory compliance, and timely charge capture and billing of clinical procedures, supplies, implants, drugs, and biologicals. Assures the maintenance and optimal utilization of charge master tools, such as FinThrive, Knowledge Source, and CDM Manager. Explores and assists in implementing charge capture workflow enhancements, service line charge capture optimization, and consistent charge structure and rate setting according to industry and organizational standards and payer contracts and guidelines.
Minimum Job Requirements
Work Experience:
Two years of experience in Revenue Integrity, Chargemaster, or related experience required, with a preference for experience in the healthcare industry.
License/Registration/Certification
Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), or Certified Professional Coder (CPC) required; or completion of certification within two years in the position
Education
Education and Training:
Associates degree in related field required. Bachelor’s degree in related field preferred.
Skills
Skills:
The Revenue Integrity Coordinator maintains the hospital Charge Description Master file and the Physicians Fee Schedule to assure accuracy, pricing integrity, regulatory compliance, and timely charge capture and billing of clinical procedures, supplies, implants, drugs, and biologicals. Assures the maintenance and optimal utilization of charge master tools, such as FinThrive, Knowledge Source, and CDM Manager. Explores and assists in implementing charge capture workflow enhancements, service line charge capture optimization, and consistent charge structure and rate setting according to industry and organizational standards and payer contracts and guidelines.
Minimum Job Requirements
Work Experience:
Two years of experience in Revenue Integrity, Chargemaster, or related experience required, with a preference for experience in the healthcare industry.
License/Registration/Certification
Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), or Certified Professional Coder (CPC) required; or completion of certification within two years in the position
Education
Education and Training:
Associates degree in related field required. Bachelor’s degree in related field preferred.
Skills
Skills:
- Demonstrated proficiency in CPT, HCPCS, and ICD-10 coding, and familiarity with Revenue Code assignment and medical terminology.
- Proficiency in Microsoft Word and intermediate Excel skills.
- Proficiency in CDM tools such as MedAssets, FinThrive, and Craneware.
- Ability to research charge capture and regulatory compliance subjects and issues and to interpret and disseminate information.
