Revenue Integrity Specialist

Revenue Integrity Specialist

Student Life | Student Health Services

Student Health Services is an ambulatory care facility that provides medical services for the students of The Ohio State University. Under direct supervision by the Revenue Cycle Manager, the Revenue Integrity Specialist 1 provides revenue cycle management support for the ambulatory care facility with more than 25 providers and a variety of ancillary services. The Revenue Integrity Specialist 1 performs review and analysis of clinical documentation and coding to ensure integrity and compliance in billing practices, including ensuring timely claims submission. Other revenue cycle initiatives performed include the extraction and analysis of data impacting the revenue cycle, including but not limited to charge capture, accounts receivable, bad debt, denials and payer analysis. Provides support in developing policies and procedures for review of clinical documentation, coding and charge capture; coordinates and presents training to operational, clinical, or business office staff when appropriate.

Qualifications

Required:

Bachelor's Degree in HIMS or related field, or an equivalent combination of education and experience; thorough knowledge of CPT, ICD-9 and ICD-10 coding concepts required; familiarity with medical terminology; strong working knowledge of Microsoft Word, Excel, Outlook, and the Internet.

Desired:

Experience working in a healthcare setting; experience with PyraMed or other medical billing systems and Student Information System (SIS): experience in medical and pharmaceutical reimbursement within a multi-carrier environment; excellent communication skills; working knowledge of University policies and procedures.

Additional Information:

Targeted Hiring Range $21.59-$28.00/hr. The offer for this position will fall within this range based on internal equity, the unit's available budget, and the selected candidate's qualifications.

Ohio State will not sponsor applicants for work visas for this position.

Qualified candidates may be asked to complete a pre-employment physical including a drug screen and background check.

Career Roadmap Designation

Function: Finance

Sub Function: Revenue Integrity

Career Level: Specialized 1

Office of Student Life Mission Statement:

The Office of Student Life fosters students' development, learning, well-being and sense of belonging; empowers students to achieve their academic, personal and professional goals; and prepares students to be engaged in a global society.

Location:

Wilce Student Health Center (0294)

Position Type:

Regular

Scheduled Hours:

40

Shift:

First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.