Job Summary
A company is looking for a Senior Revenue Integrity Specialist.
Key Responsibilities
- Manage and ensure accuracy of the healthcare revenue cycle processes including registration, charge capture, coding, billing, and collections
- Develop strategies for changes in reimbursement and collaborate with a multi-disciplinary team for implementation
- Analyze financial statements and assist in the completion of the Medicare Cost Report and annual budget
Required Qualifications
- Bachelor's degree in Accounting, Finance, or Health Administration required; Master's degree in Business or Healthcare Administration preferred
- Experience in nursing, clinical, HIM/Coding, or other allied healthcare fields
- Certified Coding Specialist (CCS) certification required
- Extensive knowledge of Medicare, Medicaid, and third-party payer requirements
- Hands-on expertise in utilizing revenue cycle tools such as EPIC, Tstar, and Diver
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