Revenue Integrity Specialist

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization, academically based health system, dedicated to providing the highest quality patient health care in the treatment and prevention of human illness.  

What awaits you: 

• Room for growth


• Medical, Dental, and Vision Insurance.


• 403B Savings Plan w/employer contribution.


• Paid Time off & Paid holidays.


• Employee and Dependent Tuition assistance benefits.

SUMMARY

This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides Johns Hopkins Medicine toward achieving operational efficiency, complete regulatory compliance, and total reimbursement.

The Revenue Integrity Specialist plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.

ESSENTIAL FUNCTIONS

• Supports associated processes for consistent and accurate charge capture and reconciliation practices in order to optimize patient revenue throughout the organization and identify opportunities for improvement and prevention of revenue leakage.


• Provides local direction and input and is expert for build and maintenance of hospital CDM both chargeable and non-chargeable items (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with JHHS Revenue Integrity group.


• Promotes a collaborative relationship between reimbursement, finance, clinical and operational leadership both local and with JHHS & CPA. Communicating performance opportunities, instills accountability, supports change management, monitors quality and provides routine feedback and educational opportunities.


• Oversees charge monitoring and charge capture related activities in order to identify opportunities to correct and prevent missed or incorrect charges and improve charging practices.


• Works collaboratively with JHHS to local payer audit and appeals and collaborates with centralized services for this function.


• Supports charging and pricing activities to ensure continual compliance with regulatory standards (i.e. CMS, AHCA, etc.)

QUALIFICATIONS

Salary Range: Minimum 28.90/hour - Maximum 47.71/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.