Revenue Integrity Specialist

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

As a successful candidate, you will:

Serve as a charge capture, charge integrity and charge description master expert to clinical service line leaders and ensures processes are in compliant with Federal/State guidelines. This position identifies revenue opportunities and works collaboratively with revenue cycle and clinical staff to develop a work plan to ensure process improvement is understood by departmental managers and staff and is documented throughout the revenue cycle with the expected outcome being increased revenue capture and decreased denials.

Your qualifications should include:

Minimum Education:

• Bachelor's Degree; 3 additional years of experience plus the minimum experience requirement may substitute for minimum education.

Minimum experience:

• Minimum of three (3) years of experience working in Revenue Integrity/Charge Capture/Coding hospital and/or professional/ambulatory healthcare environment.

• At least three (3) years prior experience performing medical record /charge audit/claim audit reviews

• Must have technical knowledge of correct coding principles of CPT/HCPCS and modifier selection

• Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other 3rd party billing rules/coverage

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.