Revenue Integrity Specialist I [Remote]

Make our legacy your legacy. Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.

What Awaits You?

• Room for growth
• Affordable and comprehensive benefits package
• Employee and Dependent Tuition Assistance

This is a remote role- only applicants living in MD, DC, VA, PA. DE, or FL will be considered.

Job Summary:

Supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement and compliance for billing. Under direction of the Director of Revenue Integrity, the Revenue Integrity Specialist II plays an important role in a high-profile group tasked with improving charge capture results by taking a global view of the full charging process, functions and interdependencies from the provision of patient care to final bill generation. Role will support proper charge compliance through review of coding and billing guidelines and will support denials prevention. 

Essential Functions 

• Supports associated processes for consistent and accurate charge capture and reconciliation practices in order to optimize charging throughout the organization and identify opportunities for improvement and prevention of revenue leakage.

• Provides local direction and input and is expert for build and maintenance of charge masters and fee schedules (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with CDM, compliance and coding teams. 

• Promotes a collaborative relationship between reimbursement, finance, clinical and operational leadership both local and health system. Communicating performance opportunities, instills accountability, supports change management, monitors quality and provides routine feedback and educational opportunities. 

• Oversees charge monitoring and charge capture related activities in order to identify opportunities to correct and prevent missed or incorrect charges and improve charging practices. 

Qualifications:

• Bachelor's Degree in finance, healthcare administration, or a related field (Required) 
• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of required education.  

• 2  years of experience with healthcare billing systems (Required)   

  Certification in Coding: CPC, CCS or COC Health care-related licensure or other AHIMA or AAPC recognized coding certification (Required)