Job Title: Revenue Integrity Coordinator
Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM)
Qualifications:
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Bachelor’s degree in business or health administration preferred.
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Medical terminology preferred.
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Experience in durable medical equipment rental preferred but not required.
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Strong understanding of healthcare systems, insurance, and community resources.
Job Summary:
Discover a rewarding career at Arcare. This Coordinator has the responsibility of interpreting government regulations and affecting process changes throughout UMES to ensure compliance with these regulations. This position is responsible for the accuracy of the Charge Description Master (COM) as designated by regulatory agencies and payers. Duties include analysis and verification of charging procedures, ensuring correctness of coding in the COM, and providing education to UMES management in the accuracy of charges. This position is responsible for the analysis and assessment of diverse data relating to the revenue cycle. This requires extensive knowledge of all aspects of the revenue cycle, including the registration, coding, billing, and collection processes, as well as government and payer regulations. Acting as an internal consultant, this Coordinator provides essential quality evaluation, reports, advice, and improvement recommendations to management in all service lines. The Revenue Integrity Coordinator is required to understand and communicate complex issues and changes relating to regulatory compliance and third-party reimbursement to the department(s) involved, maintaining records of their notification, accountability, and compliance. This position is responsible for assessment of individual and departmental compliance issues and reporting any non-compliance through UMES Service Line structures. This position works closely with Patient Financial Services staff and UMES Service Line management staff to provide accurate, critical information for identification of areas needing immediate attention to expedite compliance, recommend revenue cycle process improvements and collect every dollar owed. This position is responsible for the development and execution of training and quality assurance programs for all Patient Financial Services and other revenue cycle functions as assigned.
Key Responsibilities:
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Outpatient registration
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Pre-encounter Processing
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Financial screening and counseling
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Front-end collections
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Customer service
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Charge capture and protection
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Billing and claim submission
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Third-party and guarantor follow-up
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Cashiering, refunds and adjustments
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Denial management and avoidance
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Regulatory Compliance
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Health information management
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Federal recovery audits
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Health information management
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Reimbursement and cost reporting
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State recovery audits
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Commercial payer audits
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Communicates regulatory and contractual changes throughout UMES.
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Coordinates Charge Description Master (COM) activities throughout LIMES.
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Assist in billing-related compliance monitoring.
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Provides oversight of payment denial and underpayment processes.
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Provides oversight of charge capture processes.
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Coordinates Key Performance Indicator (KPI) tracking.
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Provides training and direction in the use of the information systems and the execution of work processes to Patient Account Analyst (PAA) personnel.
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Performs quality control of registration activities during the training and orientation period as well as general quality reviews.
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Ensures efficient account processing workflow is maintained with all clinical access management areas on the date of the patient encounter in compliance with regulatory standards.
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Participates in revenue cycle projects as required.
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Provides appropriate supervision and guidance for Patient Account Analyst employees across all locations.
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Other duties as assigned.
Skills & Attributes
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Strong organizational and communication skills.
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Ability to collaborate effectively across teams.
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A commitment to patient advocacy and compliance.
Company Paid Benefits:
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Health, dental, and vision insurance
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Paid time off (sick and vacation, up to 96 hours accrued annually)
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Eight (8) paid holidays
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One (1) floating holiday
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One (1) birthday holiday
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Life insurance
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Long-term disability
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Free Arcare clinic benefits for employees with Arcare health insurance
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Retirement plan (401(k) with company matching up to 200% of 4% after 1 year of employment)
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Additional supplemental and family coverage available
Application Assistance:
If you need assistance with the application process, please email [email protected].
Equal Opportunity Employer:
Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.
