Revenue Integrity Specialist

Job Title

Revenue Integrity Specialist

Job Description

The Revenue Integrity Specialist supports patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations for Novant Health emergency departments. The RIS helps to deliver the most remarkable patient experience, in every dimension, every time.

Work Location

HYBRID

• Onsite at Forsyth Medical Center for the duration of onboarding department training (approximately 3 months).
• Onsite at Forsyth Medical Center one day every three weeks after onboarding/initial department training.

Work Schedule

PART-TIME

• Monday – Friday, flexible hours after onboarding/initial department training.
• Work every eighth Saturday.
• Work every holiday except Christmas.

Responsibilities

• Reviews patient medical records to assess for appropriate charge entry for Emergency Department visits.
• Review and enter charges onto accounts in the charge work queues assigned, by applying coding principles for correct coding including Infusion/Injection Hierarchy, other CPT guidelines, and E/M rules.
• Query Physicians and other providers for missing or unclear documentation to support the charge process.
• Ensure E/M charge parameters are entered directly, and separately billable procedures are identified and charged accordingly.

Requirements

Required:

• CPC(A), RHIT or RHIA licensure within 18 months of hire.
• High School Diploma or GED.
• 2+ years of healthcare experience or zero years of experience with current RHIA, RHIT, or CPC(A) licensure.
• Excellent customer service skills. Outstanding written and verbal communications skills.
• Working knowledge of current Procedure Technology (CPT coding).
• Ability to effectively communicate and work with physicians, staff, and team members.
• Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle essential.
• Ability to adapt to frequent changes – in work assignment, environment, and/or regulations.
• Ability to drive/travel to multiple facilities/locations as needed.

Preferred:

• ED coding experience.
• Clinical experience and/or hospital-based billing experience.
• 2+ years of customer service experience in a clinic setting.

Benefits

• Comprehensive benefits include medical, dental, vision, and life insurance.
• Retirement fund with matching contributions.
• Tuition assistance for qualifying team members.
• Employee assistance programs and discounts.

People First Always. Best physicians. Amazing nurses. Remarkable care.

At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.

Job Opening ID 180768