Revenue Integrity Account Specialist

Silver Spring, Maryland
Sep 25, 2021
Oct 10, 2021
Full Time
Employment Type:

Full time


Day Shift


Job Title:

Revenue Integrity Account Specialist

Employment Type:

Full time



Position Highlights:
  • Competitive salary
  • Benefits - Medical, Dental & Vision, PTO, Free Parking, Metro Access, Tuition Reimbursement, 403(b)
  • Quality of Life:�Flexible work schedules
  • Advancement:�Career growth opportunities
  • Location:�Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD


Performs analysis of patient clinical and billing data to identify documentation, coding and charging opportunities.� Works pre-bill edits and collaborates with intra-departmental team members to identify root cause.� Assists with compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. Completes assigned reports timely and accurately. May be required to travel between locations within the Region.

As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs. .

What you will need:

  • Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
  • Three (3) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities.
  • Proficiency with MS Excel, Access, Business Objects highly desired, and strong level of competency with Word and PowerPoint.
  • Working knowledge of third-party payer rules and requirements, computer operations and electronic interfaces related to charge documentation, capture and billing is required.
  • Must possess a demonstrated knowledge of clinical processes; charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing.
  • Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
  • Must be able to work in an environment that may be stressful with a variety of individuals having diverse personalities and work styles.�
  • Exceptional organizational skills and ability to prioritize and manage multiple functions and responsibilities simultaneously.
  • Possess strong analytical, interpersonal, written and verbal communication skills.
  • Knowledge of charge capture, reconciliation, error management operations and overall revenue cycle operations required.

  • Licensure / Certification:� RHIA, RHIT, CCS, CPC/COC or other coding credentials strongly preferred.
  • CDC (Healthcare Compliance Certification) preferred.

Working Conditions:
  • This position operates in a typical office environment.� The area is well lit, temperature controlled and free from hazards.�
  • Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.�
  • Manual dexterity is needed to operate a keyboard.� Hearing is needed for extensive telephone and in person communication.�
  • The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.�
  • Must be able to set and organize own work priorities and adapt to them as they change frequently.� Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.�
  • Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. �May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.
  • Must possess the ability to comply with Trinity Health policies and procedures.
  • May be required to travel up to 10% between locations within the Region.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.�

Qualified applicants are considered for employment without regard to�Minority/Females/disabled/Veteran�(M/F/D/V) status.


Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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