Revenue Integrity Specialist II

You were meant for Hopkins! Come see why the Johns Hopkins All Children's Hospital is a world-renowned leader in patient care, serving the St. Petersburg community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.

What Awaits You?

* Career growth and development

* Diverse and collaborative working environment

* Affordable and comprehensive benefits package including Tuition Reimbursement

The Revenue Integrity Charge Capture Analyst serves as subject matter expert of revenue integrity and revenue cycle functions, including registration, eligibility verification, coding, billing, and charge reconciliation for assigned service line areas. It also involves monitoring and analyzing key performance metrics to identify areas for improvement and reduce revenue leakage. The position provides feedback, education, and support for change management to ensure compliance with regulatory standards and improve charging practices. Additionally, it coordinates with both local and central services for payer audit and appeals processes.

Requirements:

• Bachelor's degree preferred, preferably in business or healthcare
• Coding certification (CPC, CCS, CCS-P, COC), or certification in auditing/healthcare compliance required
• Minimum five years of experience in hospital and professional billing healthcare, revenue integrity or billing operations
• Experience leading projects or process improvements around revenue cycle functions.
• Experience with clinical documentation and coding, including strong knowledge around CPT, HCPCS, ICD10-CM/PCS, revenue codes and code assignment

Hours:

Full time (40 hours)

Day Shift

No weekends

Location: Remote- only candidates working from MD or FL will be considered.