Revenue Integrity Specialist

Are you a detail-oriented and analytical individual looking for a meaningful career in the healthcare industry? Do you have a passion for ensuring accuracy and maximizing revenue? If so, Novant Health is seeking a Revenue Integrity Specialist to join our team and play a critical role in maintaining the financial health of our organization. As a Revenue Integrity Specialist, you will have the opportunity to utilize your expertise in revenue cycle operations and coding to identify and resolve billing and coding errors, ensuring compliance with regulatory guidelines and maximizing reimbursement for services provided. Join us in our mission to improve the health of our communities and make a positive impact on the lives of others.

1. Review and analyze patient medical records and billing documentation to identify coding and billing errors.
2. Conduct thorough audits and investigations to ensure compliance with regulatory guidelines and industry standards.
3. Collaborate with healthcare providers and coding staff to resolve coding and billing discrepancies.
4. Utilize knowledge of revenue cycle operations to maximize reimbursement for services provided.
5. Develop and implement processes and procedures to improve revenue integrity and accuracy.
6. Serve as a subject matter expert on coding and billing guidelines and regulations.
7. Educate and train staff on proper coding and billing practices to ensure compliance and accuracy.
8. Identify trends and patterns in coding and billing errors and provide recommendations for improvement.
9. Communicate effectively with internal and external stakeholders to resolve billing and coding issues.
10. Track and report on revenue integrity metrics to monitor and improve performance.
11. Stay current on changes in coding and billing regulations and guidelines.
12. Collaborate with cross-functional teams to streamline processes and improve revenue cycle efficiency.
13. Participate in revenue cycle improvement initiatives and projects.
14. Maintain confidentiality and adhere to ethical standards in handling sensitive information.
15. Uphold Novant Health's mission and values in all aspects of the job.

According to JobzMall, the average salary range for a Revenue Integrity Specialist in Winston-Salem, NC, USA is between $55,000 and $75,000 per year. This range may vary depending on the specific job duties, experience level, and qualifications of the individual. Some factors that can impact salary include the size and type of employer, industry, and geographic location.

Novant Health is a four-state integrated network of physician clinics, outpatient centers and hospitals. Its network consists of more than 1,600 physicians and 29,000 employees at more than 640 locations, including 15 medical centers and hundreds of outpatient facilities and physician clinics.