Revenue Integrity Auditor- Ellis Preserve - Main Line Health


: $48,925.00 - $113,690.00 /year *

Employment Type

: Full-Time


: Accounting

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Main Line Health , with over 11,000 employees and 2000 physician practices, is suburban Philadelphia's most comprehensive health care resource, offering a full range of medical, surgical, obstetric, pediatric, psychiatric and emergency services. We are composed of five hospitals, a medical research institute, physician practices and other specialized facilities and services. Main Line Health is committed to the highest standards of patient care, education and research.

Main Line Health has achieved numerous honors and awards and has been nationally recognized by Press Ganey, Truven Analytics, The Joint Commission and other health care ratings organizations for its high quality patient care. We have received Magnet designation by the American Nurses Credentialing Center (ANCC), the nation s highest award for recognizing excellence in nursing care. At Main Line Health, we have made it our mission to provide patients with a superior patient experience. This translates to the consistent delivery of safe, high quality clinical care in the absence of preventable harm.

Why Work for Main Line Health?

We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are.Main Line Health has consistently been ranked among the best places to work by Best Places to Work in PA and the Philadelphia Business Journal. We also rank among Modern Healthcare's top 100 places in the nation to work in health care. Our physicians and employees speak highly of the work environment at Main Line Health

We have a newly created position for a motivated Revenue Integrity Auditor to join our fast paced corporate Revenue Cycle department located in the Ellis Preserve, Newtown Square , PA.

This position supports the Revenue Integrity division with efforts to identify and communicate revenue improvement opportunities and performance for hospital accounts receivable.

Responsibilities to include:

  • analyzing, monitoring and auditing billing processes using current available technology
  • ensuring quality of documentation
  • participating in coding and billing practices to ensure compliance with applicable healthcare billing regulations.
  • identifying and implementing best practices, process improvements, internal controls and corrective action when appropriate.
  • strong interpersonal and communication skills, well-developed analytic and organizational skills, and the ability to influence, but not directly managing the work of others
  • Education:

  • High School Diploma/GED
  • Associate/Bachelors degree strongly preferred or equivalent combination of education and experience.
  • Licensures & Certifications:

  • ? CCA, CCS, or CPC certification strongly preferred.
  • ? Revenue Cycle Specialist (CRCS-I) or Certified Compliance Technician (CCT) certification from American Association of Healthcare Administrative Management (AAHAM) highly desired
  • Experience:

    At least 3-5 years health care revenue cycle, billing and coding background.
    Knowledge of the charge description master and payer billing guidelines
    Knowledge of revenue cycle and reimbursement
    Knowledge of medical terminology
    Ability to develop relationships and collaborate with facility ancillary department management and revenue cycle teams to improve revenue cycle processes
    Effective oral and written communication skills required.
    Experience with Electronic health record (EMR); Microsoft office; and hospital patient accounting systems

    We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan, a pension plan, and a generous paid time off program. To be considered, please apply online with your resume atttps:// Job ID 48162 in key word search box.

    Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls.

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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