Revenue Integrity Auditor

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Job Title: Revenue Integrity Auditor Department: Health System Shared Services | Revenue Management Scope of Position The Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Auditor processes accounts and charges via Work Queues within Epic to ensure accounts/charges move through the system timely to aid in cash flow. Provides support and services to Revenue Cycle, Financial Services, Information Technology Systems, Medical Information Management, and all clinical departments. The Revenue Integrity Auditor is responsible for auditing charge processes and procedures throughout the organization to maintain charge integrity in compliance with CMS and other regulatory agencies. Responsible for maintaining current knowledge of the various regulatory agency guidelines and assure requirements are met along with accurate, complete and timely charge processes. Responsible for auditing current charge processes and, as needed, identifying correct charge processes. In addition, this position will assist in developing staff training materials to assure accurate charge processes are implemented and maintained. Position Summary The Revenue Integrity Auditor is responsible for monitoring, analyzing, and facilitating the entry of service and supply fees into various information systems. Ensure that charge capture applications are accurate and compliance standards are maintained. The Revenue Integrity Auditor will work with all cost centers and OSUP representatives to ensure the timeliness and accuracy of charge capture accuracy. This position will research, implement, and audit the use of tools such as Epic??s charge router, facility charge calculator and charge by documentation. Minimum Qualifications For Hire: Required: Bachelor degree in Business, HIM, or related field, or equivalent combination of experience and education. Required License/Registration/Certification: RHIA, RHIT, CCS and/or COC credentials. Minimum of two years of hospital clinical coding experience required; understand and interpret medical records, hospital bills, and the charge master. Proficiency in hospital and clinical record information systems and inpatient and outpatient coding methodologies. Knowledge and understanding of insurance terms (i.e. EOB, Stop Loss, etc.) and reimbursement methodologies. Understanding of revenue cycle functions, management and reporting in health care, and an overall operational knowledge of how those functions and activities of hospitals and medical clinics impact reporting. Foster a collaborative and team focused working environment. Additional Information: Location: Ackerman Rd, 660 (0242) Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions. The Ohio State University is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law. Applicants are encouraged to complete and submit the Equal Employment Identification form. Each day, Buckeyes across the state and around the world make a lasting impact. The Ohio State University sets the stage for academic achievement and innovation. It's where friendships are forged, tradition is brought to life and a better global community is built. Our mission is as clear today as it was 150 years ago: to illuminate a pathway to education, research and health care that creates vibrant futures. Faculty and staff build the incomparable Buckeye spirit through collaboration, a strong sense of community and an unwavering commitment to excellence. Our strength comes from our ability to bring out the best in people and learn from Buckeyes of all backgrounds, passions and talents. Ohio State is a dynamic community where opportunity thrives and individuals transform themselves and their world. Positions are available in countless fields and specialties. Ohio State is a top-20 public university, and its Ohio State Wexner Medical Center is one of America??s leading academic health centers and recently ranked No. 4 on Forbes?? list of best U.S. employers for diversity. Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions. Become a Buckeye and contribute to an incredible legacy that serves to guide our future and shape a better tomorrow.

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