DeTar Healthcare System
Victoria, TX
DeTar Healthcare System
#104673
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Revenue Integrity Coord
2025-03-28Job Details
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Location
Victoria, TX
DeTar Healthcare System
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Hours
Full Time
Job Description
Job Summary
Revenue Cycle Coordinator is responsible for the effective and efficient operations of all sub-departments included in Patient Accounting, charge capture/ Revenue Cycle. Ensures that account charges are captured, physician and nursing documentation support charges and works with coding to ensure all charges are entered correctly so accounts can be billed in a timely manner. Ensures timely and accurate charge capture activities and develops policies and procedures and to support accurate reimbursement while maintaining patient and physician satisfaction. Ensures accurate coding and billing practices across clinical departments. Collaborate with clinical and administrative teams to streamline workflows for revenue optimization. Will be involved in investigating and resolving rejected or denied insurance claims (initial and final denials). Able to identify and resolve issues related to revenue collection and claims.
Essential Functions
Revenue Cycle Coordinator is responsible for the effective and efficient operations of all sub-departments included in Patient Accounting, charge capture/ Revenue Cycle. Ensures that account charges are captured, physician and nursing documentation support charges and works with coding to ensure all charges are entered correctly so accounts can be billed in a timely manner. Ensures timely and accurate charge capture activities and develops policies and procedures and to support accurate reimbursement while maintaining patient and physician satisfaction. Ensures accurate coding and billing practices across clinical departments. Collaborate with clinical and administrative teams to streamline workflows for revenue optimization. Will be involved in investigating and resolving rejected or denied insurance claims (initial and final denials). Able to identify and resolve issues related to revenue collection and claims.
Essential Functions
- Manages on-going charge capture improvement initiatives.
- Ensures charges are captured for all ED accounts and other accounts assigned
- Ensures documentation is noted to support charges
- Stays updated on changes in coding guidelines (e.g. ICD-10, CPT, HCPCS) and reimbursement policies.
- Identifies and tracks trends
- Charge entry daily
- Ensures charges are entered to ensure accurate and timely filing billing
Qualifications
- H.S. Diploma or GED required
- Coding and billing certificate
- 3-5 years experience of billing and coding
Knowledge, Skills and Abilities
- Knowledge of billing and coding regulations
- Insurance Verification knowledge
- Proficient in Microsoft and Google Applications.
- Detail-oriented.
Licenses and Certifications
- Billing and Coding Certificate - upon hire required