Revenue Integrity Specialist (0006H) bei Axis Health System

Description

Revenue Integrity Specialist

 

Position Summary: The Revenue Integrity Specialist ensures the integrity and accuracy of coding, billing, and reimbursement practices to prevent revenue leakage and maintain compliance with regulatory standards and revenue cycle performance.  This role is focused on balancing financial sustainability with patient-centered care. By auditing, coaching, and partnering with multidisciplinary teams across the organization, this position’s primary goal is to increase revenue via preventing denials, reducing lost revenue, and creating a culture of documentation excellence. 

Qualifications: Our ideal candidate for the Revenue Integrity Specialist position will maintain an Associate’s degree in Health Information Management, Business, or related field OR equivalent work experience; be a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Risk Coder (CRC), Certified Healthcare Chart Auditor (CHCA), Registered Health Information Technician (RHIT) or equivalent credential; have 2+ years of experience in medical billing, coding, or revenue cycle operations; have knowledge of federal, state, and payer compliance regulations and have the ability to read and interpret medical documentation for billing and coding accuracy. 

Preferred Experience, Licensure, Certifications 

• Bachelor’s degree in Health Information Management or related field. 

• Experience with NextGen EHR/PM or other integrated EHR systems. 

• Prior experience supporting revenue integrity or compliance in an outpatient integrated healthcare delivery model, federal qualified healthcare center, community mental health center or behavioral health setting. 

Essential Job Functions 

• Support gap closure in the healthcare revenue cycle 

• Conduct audits of inpatient and outpatient accounts to ensure accuracy and regulatory compliance of documentation, coding, charge capture, payer sequence, billing and claims submission 

• Educate/train staff via real-time training and one-on-one support to ensure proper coding, billing and documentation practices based on audit findings. 

• Facilitate feedback loops and create training resources to establish a culture of documentation excellence. 

• Monitor claims, denials, and reimbursement trends to identify systemic issues and implement corrective actions. 

• Partner with EHR, IT, and Revenue Cycle teams to identify, correct and simplify recurring workflow/system issues. 

• Ensure compliance with federal, state, and payer regulations to mitigate audit and penalty risks. 

• Collaborate with operations, finance, compliance, and clinical leaders to align revenue integrity with patient care goals. 

• Support enterprise-wide revenue cycle initiatives and policy development 

• Organize, attend and present findings, initiatives, progress via data analytics to the Revenue Cycle Committee 

 

Salary:  Starting at $31.23 (Base $28.73 + $2.50 Locale differential) - $34.68 per hour (non-exempt/hourly) and considers preferred experience, preferred education described above and working onsite at a Durango location.

Remote pay range: 28.73-32.18 per hour (non-exempt/hourly) and considers preferred experience, preferred education described above. 

Benefits (Full Time employees):

 

• Medical (HDHP or PPO)               •            Long Term Disability
• 401k offering up to 6% match    •            Short Term Disability
• Health Savings Account               •            Dental
• Flexible Spending Account          •            Vision
• Dependent Care Account            •            Pet Insurance
• Life Insurance                                •            College Invest plans
• Annual Wellness Benefits            •            Personal Days
• Loan Repayment Programs         •            (9) Company Paid Holidays
• (3) weeks of All Paid Leave (APL) for first 2 years with full-time employment.
• On-going training & educational opportunities for professional development are also available.

 

Physical Demands: Employee must occasionally lift and/or move 15 pounds up to 50 pounds on an occasional basis. Employees are frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Must have ability to sit for longer periods at a computer. Employee must be able to travel between AHS locations. Possible potential exposure to communicable disease. The noise level in the work environment is usually moderate. AHS may make reasonable accommodations to enable individuals with disabilities to perform the essential functions.

 

Required Skills:

• Strong understanding of medical billing, payer requirements, and coding practices. 

• Excellent analytical and problem-solving skills with keen attention to detail. 

• Strong communication and teaching skills, with ability to provide constructive feedback to staff at all levels. 

• Ability to work collaboratively across clinical, operational, IT, and financial teams. 

• Proficiency with Microsoft Office Suite and EHR systems. 

• Demonstrated ability to prioritize competing tasks and manage workflow efficiently. 

• Commitment to confidentiality, compliance, and ethical standards. 

 

Additional eligibility requirements:  Annual Flu immunization, Annual TB screening, CPI training within 90 days of hire, BLS PRO certification required within 90 days of hire

About our Axis Health System:  We are the leading provider of integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in our clinic, you’ll have access to a wide range of resources for your patients. We have recovery groups, Medication Assisted Treatment (MAT), specialized mental health outpatient programs, primary care, diabetes education, crisis services, resource navigators, insurance enrollment specialists, tele-video systems to access our locations across the region and more. We work to make sure you have what you need at your fingertips to be successful in your position and support your patient in their road to recovery.

Please visit our website at http://www.axishealthsystem.org , to apply for this position and for more information about our organization. All qualified applicants will receive consideration for employment, transfer, or promotion opportunities.   

 

About Durango/Pagosa Springs:

If you’re interested in Rocky Mountain wildlife, white water rafting, hiking in to discover nature’s most beautiful waterfalls, or a breathtaking car ride on the San Juan Skyway, then Durango and Pagosa Springs are the place for you!  As with so many areas on the Western Slope, you have now entered an outdoor enthusiast’s paradise. Just minutes from zip lining through the treetops, to soaking in the Piedra River Hot Springs, located in the national forest, after a day of hiking any one of the many trails, and when the season is right, you can be snowboarding or camping in the mountains that surround this beautiful area.  Take a ride on the historic Durango & Silverton Narrow Gauge Railroad Train and enjoy the stunning views of the San Juan National Forest.  You’re also a mere 35-minute car ride to Mesa Verde National Park. Just outside the doors of our clinics, you’ll find beautiful parks with walking paths and opens spaces to enjoy. Durango has an airport located minutes from our clinics which has service to Denver, Phoenix and Dallas-Fort Worth daily. Learn more about our area here:  Visit Durango, CO | Official Tourism Site of Durango, Colorado

Qualifications

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