RN Revenue Integrity Clinical Coordinator
(Briefly describe the overall purpose of this position - Why does it exist and how does it contribute to the overall organization?)
The Revenue Integrity Clinical Coordinator be responsibility for leading and performing charge capture, charge compliance and charge optimization initiatives, ensuring charges reflect services rendered. This will include collaboration with CDM, Ancillary Departments, CBO and Managed Care. The objectives will include reduction in bill holds, increase in clean claims and assurance that revenue is supported by clinical documentation. Additionally, the position will lead and respond to payer and patient audits, creating processes for both education and prevention. This will include coordinating all retrospective, concurrent, patient complaint and external billing audits, providing monthly audit results. The position will lead and coordinate with Ancillary Department and Charge Description Master team to research alternative processes regards to charge related improvements and billing compliance issues. The Revenue Integrity Clinical Coordinator will develop and coordinate educational in-services to the Business Office staff and Ancillary staff related to charging and billing issues. The position will stay abreast of governmental and non-governmental payors to ensure facility charging meet compliance and clinical documentation processes in place will support charges. Performs various QA reviews to ensure timely and appropriate charging, documentation to support charging, appropriate coding at charge level.