**Revenue Integrity Auditor/Full Time/Hybrid
🔍 Troy, Michigan
Our Revenue Cycle Team wants to meet YOU! Join us at our job fair on February 25. Register here.
GENERAL SUMMARY:
Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions and revenue routing, through evaluation and interpretation of payer updates, performance of record audits, work queue review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle departments ensuring that the accounts audited reflect proper documentation, charge capture, coding, and billing to support proper payment. The RI Auditor understands HFH payor contracts and reimbursement methodologies. Works collaboratively with Revenue Integrity staff to identify charge system weakness, recommends process improvement and other changes provides education, and tracks utilization. This position is integral to the Revenue Integrity Team to assist in ensuring patient services are supported by clinical documentation, appropriately coded, accurately charged, and the related revenue is recorded in the proper department.
EDUCATION/EXPERIENCE REQUIRED:
- Associate degree in Business Administration, Healthcare Administration, Nursing or related field, or two (2) years of related experience in lieu of Associate degree.
- Two (2) years of experience in healthcare revenue cycle/audit processes.
- EPIC experience, preferred. Hospital billing and healthcare finance background preferred.
- Knowledge of medical coding (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage.
- Ability to investigate, analyze and resolve issues at a high level.
Excellent communication, organizational and problem-solving skills.
CERTIFICATIONS/LICENSURES REQUIRED:
- RHIA, RHIT, CCS, COC, or CPC, or other coding certification required or must be obtained within 12 months of hire date.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.