Georgia Licensed Revenue Integrity Specialist

Job Summary

A company is looking for a Revenue Integrity Specialist to support various service lines in a remote capacity.

Key Responsibilities

• Conduct charge capture analysis and manage related work queues for assigned service lines
• Resolve claim edits prior to billing by analyzing medical records and applying payer guidelines
• Advise service line leaders on charge code usage and identify opportunities for additional revenue capture

Required Qualifications

• H.S. Diploma or GED required; Associate's or Bachelor's Degree in HIM/HIT preferred
• 3 years of relevant healthcare experience in charge integrity, charge capture, compliance, auditing, or CDM management required
• Experience with coding and hospital billing procedures required
• Experience working with Epic required
• AHIMA certification or RN licensure required upon hire