Solve IT Strategies is looking for a Rev Capture & Audit Specialist for a leading beauty retail company.

The Main Responsibilities of a person are:

• Perform proactive/concurrent audits for assigned departments or as appropriate toidentify areas of billing discrepancies and/or duplicate charges
• Perform periodic retrospective, charge capture reviews of assigned departmentsincluding review of medical record, encounter form, UB-92, and electronic billingtools to identify charging/billing issues
• Communicate identified audit issues with the department management team.Develop and document improvement process solution with the departmentmanagement
• Escalate issues regarding revenue capture or incorrect charging practices whenappropriate
• Escalate issues regarding nursing documentation when appropriate
• Ability to coordinate large projects; work under time pressures and meet deadlines.
• Ability to lift 20#–Ability to work independently. –Skill understanding and analyzing patient bills and medicalrecords.
• Ability to interact with associates at all levels within theorganization.
• Ability to provide superior customer service.
• Ability to investigate, analyze and apply contract language,billing guidelines, medical and reimbursement policies.
• Strong written, and oral communication skills and be capableof handling confrontational encounters in a positive manner.
• Must have proven problem-solving abilities and stronganalytical skills.
• Travel to local meetings at various sites as necessary.
• Ability to work under time pressure and meet deadlines.
• Ability to communicate effectively and work independently.
• Effective organizational skills.
• Skill in understanding charge capture and analyzing patientbills.
• Familiar with reading medical chart.

SKILLS:

• Effective knowledge of PC.
• Proficient in use of aMicrosoft and applicationssuch as Office and relatedsoftware (e.g. Word, Excel,and Access
• Knowledge ofinpatient/outpatient CMSbilling regulations

EDUCATION ANDEXPERIENCE:

• 5-7 Years prior hospitalclinical experience.
• Codingexperience helpful.
• Solidknowledge and understandingof provider reimbursementmethodologies. medicalterminology, human anatomy,physiology, CPT, HCPCS andUB-92 coding.

CERTIFICATION:

• Certified Coding Associate(CCA) valid and currentcertification required
• Certified Coding Specialist(CCS) valid and currentcertification required