Ohio State University Physicians

Revenue Integrity Auditor

Ohio State University Physicians

full-time

Posted on:

Location Type: Hybrid

Location: Columbus • Ohio • United States

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Salary

💰 $60,026 - $90,039 per year

About the role

  • Provides charge auditing support throughout the organization to ensure integrity of charge processes and procedures from all sources.
  • Collaborate with various OSUP corporate departments and OSUWMC to ensure timeliness and ensure the integrity of charging in the EPIC system.
  • Performs charge audits for identified potential missed charges to determine accurate ICD10, CPT, HCPCS used for billing services provided by physicians and licensed advance practice providers.
  • Identifies charge capture opportunities and works with respective departments to develop action plans for improvement.
  • Works in collaboration with various OSUP and OSUWMC departments to analyze and research billing concordance opportunities.
  • Coordinates with OSUP departments to ensure reconciliation and recoupment of charge opportunities.
  • Maintains knowledge of regulatory and industry updates, as well as medical compliance and reimbursement policies, such as medical necessity issues and correct coding issues.
  • Attends conferences, workshops, and inhouse sessions to receive updated coding information and changes in coding and/or regulations.
  • Keeps up to date with EPIC features and enhancements related to charging.
  • Acts as point person for professional revenue integrity program.
  • Creates and participates in active formal and informal communication on behalf of OSUP with other internal and external entities/customers.
  • Assists leadership in developing and monitoring charge capture methods and controls.
  • Identifies, researches, and communicates operational issues.
  • Participates in the development, implementation, testing, validation, and documentation of OSUP/OSUWMC revenue integrity initiative.
  • Prepares, reviews, and analyzes reports to make recommendations to manager.
  • Assists application developers and other support personnel with troubleshooting and resolution techniques.
  • Promotes quality documentation in the medical record supporting quality coding, compliance, high quality patient care, operations, research, and reimbursement.
  • Participates on committee or workgroups as needed.
  • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.

Requirements

  • Associate degree in healthcare, Business, Clinical, Computer Science or related field, and or 3 years in coding and charging experience, or an equivalent combination of education and experience.
  • Certification of CPC, CCS, CCS-P; or equivalent designation, along with a minimum of 3 years working with Electronic Medical Records.
  • Previous experience in revenue integrity systems.
  • Epic experience.
Benefits
  • Medical
  • Dental
  • Vision
  • Health reimbursement accounts
  • Flexible spending accounts
  • Retirement
  • Employee assistance program
  • Paid time off
  • Holidays
  • Wellness program
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ICD10CPTHCPCScodingcharge auditingcharge capturerevenue integritybillingdocumentationtroubleshooting
Soft Skills
attention to detailprofessionalismcooperativenesscommunicationproblem-solvinganalytical skillscollaborationleadershipcustomer serviceorganizational skills
Certifications
CPCCCSCCS-PAssociate degree in healthcareAssociate degree in BusinessAssociate degree in ClinicalAssociate degree in Computer Science