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Coord Charge and Audit Process- Revenue Integrity
full-timeMadison

Summary

Location

Madison

Type

full-time

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About this role

Overview

Responsible for completing and maintaining charge services within the Cerner application to include, but not limited to, maintenance of CDM, CPT/HCPCS codes, revenue codes, and tiering logic.  Coordinates with hospital departments to complete DCW (Department Charge Worksheets) for Cerner.  Responsible for all activity related to Medicare’s Recovery Audit and Targeted Probe and Educate (TPE), as well as all other appeals and denials associated with Revenue Integrity. 

Qualifications

Education: 

  • High school diploma or GED required
  • Bachelor’s degree in Business Administration, Health Administration, or a clinical discipline preferred
  • Prior billing or coding experience will be considered in lieu of bachelor’s degree

 

Experience: 

  • Minimum of 2 years’ experience in Patient Accounting, Case Management, Internal Audit, or Coding.

 

Additional Skill/Abilities:

  • Understands clinical and financial processes within a hospital-based healthcare system
  • Clear and effective communication skills with strong professional interpersonal skills.
  • Knowledgeable in medical terminology, coding, healthcare billing guidelines, and audit process
  • Proficiency in Word and Excel
  • Able to work in fast paced environment, requiring prioritizing and changing tasks frequently

About Us

Highlights of our hospitals

Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if  you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities.

 

Huntsville Hospital Benefits:

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

 

 Learn more about Huntsville Hospital Health System:

  • Careershttps://careers.hhsys.org/careers-home
  • Benefits: https://careers.hhsys.org/us/en/benefits
  • Education & Professional Developmenthttps://www.huntsvillehospital.org/education
  • Life In Huntsvillehttps://www.huntsvillehospital.org/about-huntsville-al

Other facts

Tech stack
Charge Services Maintenance,Cerner Application,CDM Maintenance,CPT/HCPCS Codes,Revenue Codes,Tiering Logic,Department Charge Worksheets (DCW),Medicare Recovery Audit,Targeted Probe and Educate (TPE),Appeals and Denials Management,Clinical Processes Understanding,Financial Processes Understanding,Medical Terminology,Healthcare Billing Guidelines,Audit Process Knowledge,Microsoft Word Proficiency,Microsoft Excel Proficiency

About Huntsville Hospital Health System

Huntsville Hospital is an 881-bed hospital that serves as the regional referral center for North Alabama and southern Tennessee. Huntsville Hospital is governed by the Health Care Authority of the City of Huntsville and is the second-largest hospital in Alabama. In recent years, the hospital has expanded its services throughout the region with the development of Huntsville Hospital Health System, which includes hospitals in Huntsville, Madison, Athens, Decatur, Boaz, Guntersville, Moulton, Red Bay, Sheffield, Scottsboro, and Fayetteville, Tenn. The Health System includes more than 2,300 patient beds and 19,500 employees.

Team size: 10,001+ employees
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1895

What you'll do

  • This role is responsible for completing and maintaining charge services within the Cerner application, which includes managing CDM, CPT/HCPCS codes, revenue codes, and tiering logic. Additionally, the coordinator manages all activities related to Medicare's Recovery Audit and TPE, along with handling other appeals and denials associated with Revenue Integrity.

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Frequently Asked Questions

What does a Coord Charge and Audit Process- Revenue Integrity do at Huntsville Hospital Health System?

As a Coord Charge and Audit Process- Revenue Integrity at Huntsville Hospital Health System, you will: this role is responsible for completing and maintaining charge services within the Cerner application, which includes managing CDM, CPT/HCPCS codes, revenue codes, and tiering logic. Additionally, the coordinator manages all activities related to Medicare's Recovery Audit and TPE, along with handling other appeals and denials associated with Revenue Integrity..

Why join Huntsville Hospital Health System as a Coord Charge and Audit Process- Revenue Integrity?

Huntsville Hospital Health System is a leading Hospitals and Health Care company.

Is the Coord Charge and Audit Process- Revenue Integrity position at Huntsville Hospital Health System remote?

The Coord Charge and Audit Process- Revenue Integrity position at Huntsville Hospital Health System is based in Madison, Alabama, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Coord Charge and Audit Process- Revenue Integrity position at Huntsville Hospital Health System?

You can apply for the Coord Charge and Audit Process- Revenue Integrity position at Huntsville Hospital Health System directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Huntsville Hospital Health System on their website.