Senior Revenue Integrity Specialist - Remote

Overview

The Senior Revenue Integrity Specialist plays a crucial role in ensuring accurate clinical charge capture and compliance with coding and billing regulations at Keck Medical Center of USC.

In Short

• Leads daily CDM maintenance workflow.
• Ensures compliance with coding and billing regulations.
• Coordinates with various departments on technology projects.
• Conducts meetings to improve charge capture and coding compliance.
• Acts as a subject matter expert in revenue integrity.
• Performs maintenance of the Charge Description Master (CDM).
• Reviews and processes coding updates and corrections.
• Provides leadership to the revenue auditor team.
• Participates in development of policies and education programs.
• Enhances professional growth and team development.

Requirements

• Associate's degree in relevant field.
• Certification as a Certified Professional Coder (CPC).
• 5 years of experience in healthcare.
• Knowledge of Medicare and third-party payer reimbursement.
• Proficient in MS Office.
• Experience with inpatient and outpatient billing.
• Strong problem-solving skills.
• Experience with CDM maintenance software preferred.
• Current knowledge of revenue cycle processes.
• Relevant clinical license preferred.

Benefits

• Competitive salary range.
• Comprehensive benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Engagement in impactful healthcare projects.