Leads revenue cycle assessments, coordinates charge audits, works with Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement teams to improve charge accuracy and revenue integrity. Support Revenue Analytics team and cross-department collaboration (Internal Audit, Billing Compliance, PFS).
Role Summary Acts as subject matter expert for charge capture/charge description master (CDM) processes. Leads revenue cycle assessments, coordinates charge audits, works with Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement teams to improve charge accuracy and revenue integrity.
Requirements Education: Bachelor's in a clinical program required (Master's preferred) Experience: 5+ years varied clinical experience as RN, APN, or similar clinical specialist. Licenses/Certs: Registered Nurse (PA) required Certification: Certified Professional Coder (CPC) Active/Willing to take— required
Skills:
Coding/billing experience.
Chart/bill audit experience.
Strong project management, analytical, and communication skills.
Proficiency in Word, Excel, PowerPoint, Visio.
Core Duties
Lead charge capture improvement initiatives and reconciliation