Employer Industry: Pediatric Specialty Care

Why Consider this Job Opportunity:
- Competitive salary up to $80,000
- Opportunity for career advancement and growth within the organization
- Remote work flexibility
- Supportive and collaborative work environment
- Chance to make a positive impact on pediatric patients and their families
- Comprehensive benefits package

What to Expect (Job Responsibilities):
- Conduct revenue integrity audit activities for compliance with internal policy, CMS, Medicaid, and managed care regulations
- Provide analysis, trended reports, and documentation for audit findings and recommendations
- Assist in identifying, defining, and functioning within software processes to support revenue integrity
- Develop reports and audit tools to meet revenue integrity and outcomes measurement requirements
- Ensure accurate and timely auditing of chargeable services and activities

What is Required (Qualifications):
- 7 years of hospital-based revenue cycle experience with a focus on revenue integrity and compliance
- 3 years of hospital-based billing or coding experience focused on charge capture
- Experience in charge capture, revenue integrity, and/or patient access in hospital-based settings
- Clinical experience blended with revenue cycle preferred
- Associate's Degree required

How to Stand Out (Preferred Qualifications):
- Certification in CCA, CCS, CHC, CDIP, CMAS, or RHIT preferred

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