Saint Louis, MO, 63112, USA
18 hours ago
Revenue Integrity Audit Specialist
**It's more than a career, it's a calling.** MO-SSM Health St. Mary's Hospital - St. Louis **Worker Type:** Regular **Job Highlights:** _Supports Diagnostic Imaging as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between and resource for clinical and Revenue/Financial departments with strong understanding of both components. Ensures best practices are utilized throughout the St. Louis Imaging Network._ **Job Summary:** Supports assigned department(s) as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between and resource for clinical and Revenue/Financial departments with strong understanding of both components. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Serves as a resource and subject matter expert to the for department workflows, documentation, coding, charging, and software applications. + Manages all work queues using subject matter expertise to investigate/correct errors to aid in timely and accurate claims. + Investigates clinical & technical report deficiencies to ensure all reports are completed timely to prevent delays in patient care. + Ensures accuracy & completeness of daily charges/CPT code assignment; applying modifiers as needed & ensure supporting documentation is present. + Work one-on-one with staff and Physicians to ensure documentation requirements are being met according to coding & billing guidelines. + Create and generate reports utilizing multiple reporting tools across multiple databases to support leadership on strategic initiatives. + Completes audit/project evaluations and reviews selected records to determine accuracy of orders, charges, and documentation. Shares findings with leadership and collaborates to achieve departmental goals, objectives, and best practice. + Maintains current knowledge of Charge Description Master (CDM), Charge Preference List (CPL) and Flowsheet Charging to provide support for assigned health ministry to produce a bill/claim by attending coding conferences, workshops, and self-guided learning. + Collaborates with management and subject matter experts to understand the desired performance, assess learning needs, and develops appropriate training solutions. Provides ongoing training relative to charge accuracy & department specific workflows that impact coding/billing compliance and delivery of timely patient results. + Performs other duties as assigned. EDUCATION + Associate's degree EXPERIENCE + Two years of experience in assigned department(s) or coding experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS + None **Department:** 4218000130 Imaging Admin **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits) _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)_
Confirm your E-mail: Send Email