Responsibilities

Responsible for charge capture, charge reconciliation and denial management monitoring activities. Assists with analysis and review of Chargemaster to ensure an accurate and defensible fee schedule. Monitors work queues to ensure timely resolution of edits and submission of claims. Completes analytical assessment of reporting to identify missed revenue opportunities and areas for potential revenue enhancement. Applies analytical skills to daily work to identify trends or root causes and provides recommendations to improve processes across the revenue cycle (missing or delayed charges, lag time, claim denials, etc.) Able to communicate clearly to provide education to administrative staff. Keeps abreast of government and commercial payor updates and changes to billing requirements. Monitors denials to identify trends and recommend solutions. Ability to work independently, analyze data and use judgement to make independent decisions is critical to this position.

Job Title: Revenue Cycle Integrity Specialist: Telecommute

Clinic Location: Pearland Administration Office Building

Department: Business Office

Job Type: Full Time

Salary Range: $57,949.00 – $71,594.00 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: Associates degree. Substitution for degree is Certified Professional Coder (CPC), Coding Specialist –Physician Based (CCS-P), Certified Coding Associate (CCA) licenses or 1:1 years of additional experience may substitute for degree.

Preferred: N/A

Experience

Required: 5 years of experience in professional revenue cycle, Familiar with revenue cycle components (CPT, ICD 10, HCPCS, medical terminology, claims, EOB, etc.) Working knowledge of commercial insurance and CMS, including rules, regulations, and guidelines.

Preferred: Experience with EPIC.

License(s)

Required: N/A

Preferred: Certified Professional Coder (CPC) or Certified Coding Specialist –Physician Based (CCS-P) Certified Coding Associate (CCA)

Special Skills

Required: Must be proficient in Excel, Word, Outlook, PowerPoint and other applications. Analytical skills. Excellent written and verbal communication skills. Presentation skills. Able to manage multiple tasks to meet deadlines. Must be able to apply critical thinking and independent judgement to make recommendations for process improvements and achieve department goals.

Preferred: N/A

Other

Required: Must be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with work-related interruptions. Must demonstrate dependability and an ability to work independently.

Preferred: N/A

Working Environment: Office

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental
• Tuition Reimbursement
• Company Matching 401K
• Employee Reward and Recognition Program
• Paid time off for vacation, sick, and holidays
• Employee Assistance Program
• Continuing Medical Education allowance