Revenue Cycle Auditor - Revenue Integrity
Christus Health

San Antonio, Texas

Posted in Medical and Nursing


Job Info


The Children's Hospital of San Antonio, established in 1959, was the first children's hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children's hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children's Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.

Summary:

This position is responsible for reviewing, auditing and reporting on Charge Capture at the department level, educating hospital staff on charge reconciliation, analyzing claims' denials and unbilled issues, auditing hospital accounts, serving an integral role on hospital Revenue Integrity Teams, leading Revenue Management work groups, developing summary reports for management and revenue-producing departments, and ensuring charge-master and billing compliance.

Requirements:

High School diploma or equivalent.
Bachelors Degree is preferred.
Intermediate to Advanced level in Microsoft Word and Excel
Strong knowledge of healthcare revenue cycle processes and Federal, State and local insurance guidelines and regulations.
Ability to communicate effectively at all regional and facility levels.
Strong quantitative and analytical skills, and the ability to work on multiple tasks at any given time.
Excellent interpersonal, problem solving and critical thinking skills.
Minimum of five (5) years working in healthcare, whether in a clinical or ancillary setting or a Revenue Cycle department.
Thorough understanding of hospital billing, chart reviews and coding, UR and Case Management, payer contracts and reimbursement rates, and other revenue cycle functions
Working knowledge of Meditech
LVN or RN certification is recommended.

Work Type:

Full Time



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