Florida Licensed Revenue Cycle Specialist

Job Summary

To enhance the accuracy of transplant-related charges, the full-time Florida Licensed Revenue Cycle Specialist will review and audit inpatient and outpatient pre-transplant charges, ensuring compliance and proper classification while working remotely.

Key Responsibilities

• Reviews charge work queues for transplant and donor patient hospital and professional charges across all organ programs
• Identifies, tracks, and resolves missing or misrouted charges in collaboration with Coding, Patient Financial Services, and clinical departments
• Assists with preparation of audit documentation for Medicare Cost Reports and participates in cross-functional meetings

Required Qualifications

• Minimum of two years of experience in healthcare revenue cycle, charge capture, coding, or transplant operations
• Active nursing license or coding certification (e.g., CCS, RHIT, RHIA, CPC, COC, CIC, or CCS-P)
• Proficiency in revenue integrity, billing, and audit tools; experience with EHR systems, preferably Epic
• Working knowledge of transplant billing and compliance requirements
• Experience with clinical chart review and data abstraction