Revenue Integrity Coordinator

Overview

The Revenue Integrity Coordinator (RIC) is responsible for the identification, implementing and monitoring results for all revenue integrity related activities in accordance with department policy. This includes working with team members to identify causes of denied, rejected, or underpaid claims.  The RIC will take action in correction errors and by making appropriate referrals that will result in the protection of potentially lost revenue.  The  RIC will track and report causes of denied, rejected, or underpaid claims and work front end/concurrent/and retrospective case for authorizations. The RIC will lead the team to retrieve, enter, and/or disseminate date to receive authorization on concurrent and retrospective cases.  The work of the RIC will include providing information, through team reporting, to the appropriate individuals to facilitate performance improvement throughout the DCH System. The RIC role will provide oversight of the team focus on preventing and reversing denials.

Responsibilities

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications

• High School graduate or equivalent with some college preferred
• Minimum of five (5) years of combined experience with registration, scheduling, insurance verification, Utilization Review and patient collections
• Strong organizational and computer skills are required.
• Must have previous experience in working with multiple department heads in an effective manner and be able to do so in stressful situations.
• Knowledge of medical terminology is required.
• Ability to work, plan and coordinate registration and scheduling functions within one cohesive unit
• Ability to develop and interpret computer-generated charts, graphs and reports. 
• Must be able to read, write legibly, speak and comprehend English