Sr. Revenue Guardian/REMOTE | Revenue Integrity
Sr. Revenue Guardian (REMOTE) | Revenue Integrity | FT
Overview
Since opening over 59 years ago, UF Health Leesburg Hospital has built a reputation as a leading medical center and the most comprehensive provider of healthcare services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. It has received recognition from the American College of Cardiology for its expertise in treating chest pain, earning a Chest Pain Center Accreditation with Primacy PCI and Resuscitation, its highest level of accreditation.
The hospital also provides world-class orthopedics, minimally invasive robotic surgery, emergency care, stroke treatment, labor & delivery, and more.
Responsibilities
The Senior Revenue Guardian supports accurate charge capture, coding, billing, and revenue routing for medium to high-complexity hospital departments. Responsibilities include conducting record audits, evaluating regulations and payer guidelines, monitoring work queues, providing staff education, resolving undercharges and overcharges, correcting coding errors, and performing charging analysis to identify trends and resolve issues. The role also involves responding to third-party payer audit requests and monitoring revenue reports to ensure proper revenue capture and posting.
Qualifications
• Bachelor's degree in a health or business-related field preferred; or 4 years of related work experience.
Licensure/Certification
• RN, LPN, RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, CCA (must be obtained within 1 year of starting).
Additional Skills/Qualifications
• Experience with Health Information Management, Facility/Physician Billing, Charge Description Master, Denials Management, Charge Integrity, Financial Analysis, or Healthcare Compliance certification preferred.
• Knowledge of coding and medical record review procedures.
• Ability to work independently and collaboratively.
• Understanding of third-party billing, collections, and government programs.
• Proficiency with Windows-based software and healthcare applications like SDK, EPIC, 3M, and CDM software.
• Strong communication and interpersonal skills.
• Analytical skills with the ability to manage multiple projects.
• EPIC workflow and reporting experience preferred.
Additional Information
• Seniority level:
Mid-Senior level
• Employment type:
Full-time
• Job function:
Accounting/Auditing and Finance
• Industries:
Hospitals and Healthcare
This job posting is active and not expired.
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Overview
Since opening over 59 years ago, UF Health Leesburg Hospital has built a reputation as a leading medical center and the most comprehensive provider of healthcare services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. It has received recognition from the American College of Cardiology for its expertise in treating chest pain, earning a Chest Pain Center Accreditation with Primacy PCI and Resuscitation, its highest level of accreditation.
The hospital also provides world-class orthopedics, minimally invasive robotic surgery, emergency care, stroke treatment, labor & delivery, and more.
Responsibilities
The Senior Revenue Guardian supports accurate charge capture, coding, billing, and revenue routing for medium to high-complexity hospital departments. Responsibilities include conducting record audits, evaluating regulations and payer guidelines, monitoring work queues, providing staff education, resolving undercharges and overcharges, correcting coding errors, and performing charging analysis to identify trends and resolve issues. The role also involves responding to third-party payer audit requests and monitoring revenue reports to ensure proper revenue capture and posting.
Qualifications
• Bachelor's degree in a health or business-related field preferred; or 4 years of related work experience.
Licensure/Certification
• RN, LPN, RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, CCA (must be obtained within 1 year of starting).
Additional Skills/Qualifications
• Experience with Health Information Management, Facility/Physician Billing, Charge Description Master, Denials Management, Charge Integrity, Financial Analysis, or Healthcare Compliance certification preferred.
• Knowledge of coding and medical record review procedures.
• Ability to work independently and collaboratively.
• Understanding of third-party billing, collections, and government programs.
• Proficiency with Windows-based software and healthcare applications like SDK, EPIC, 3M, and CDM software.
• Strong communication and interpersonal skills.
• Analytical skills with the ability to manage multiple projects.
• EPIC workflow and reporting experience preferred.
Additional Information
• Seniority level:
Mid-Senior level
• Employment type:
Full-time
• Job function:
Accounting/Auditing and Finance
• Industries:
Hospitals and Healthcare
This job posting is active and not expired.
#J-18808-Ljbffr
Apply Now
Apply Now