Position summary
The Revenue Integrity Liaison evaluates clinical charges and codes to ensure accurate billing, proper revenue capture, and compliance with government and third-party payer requirements. Works with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues. Hospital experience working with surgical products or supply chain is highly preferred, along with Epic experience.

Key responsibilities

• Review clinical charges and codes to ensure accurate billing and compliance with payer requirements.
• Work with physicians to ensure clinic notes are finalized and accurate in clinical systems, including PowerChart.
• Review provider information, encounter forms, and other charge documents for accuracy.
• Analyze billing errors and denials to identify root causes and develop plans to correct issues.
• Work with Patient Accounts to review billing edits and help clinical departments understand correct charge entry and payer billing and coding rules.
• Monitor charge reconciliation reports to identify missing charges, documentation, signatures, and coding errors.
• Initiate corrections for billing errors, missing charges, and documentation issues.
• Provide guidance and information to clinical departments on charge capture, coding, and billing processes.

Minimum qualifications

Education:
High school diploma or GED required. Associate’s degree preferred.

Experience:
One year of hospital or physician patient accounting experience, including a thorough working knowledge of third-party payer requirements, required.

Schedule:
Hybrid. M-F

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