revenue integrity specialist

Keck Medicine of USC

<div><p>As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.
</p><p><b>Essential Duties:
</b></p><ul><li>Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck &amp; Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.
</li><li>Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.
</li><li>Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards.
</li><li>Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.
</li><li>Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.
</li><li>Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.
</li><li>Synchronizes CDM data between CDM and CDM Workflow &amp; Management Tool for Keck Medical Center of USC entities on a monthly basis.
</li><li>Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.
</li><li>Provides CDM data as necessary based on identified issues in form of ad-hoc reports.
</li><li>Provides guidance and education to ensure that CDM&rsquo;s and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC.
</li><li>Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.
</li><li>Interprets and explains on details of charge services provided as needed.
</li><li>Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes.
</li><li>Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.
</li><li>Enhances professional growth and development
</li><li>Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives.
</li><li>Performs other duties as assigned.
</li></ul><p></p><p><b>Required Qualifications:
</b></p><ul><li>Req Associate&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
</li><li>Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire.
</li></ul><ul><li>Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.
</li><li>Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
</li></ul><ul><li>Req Knowledge of other government and third-party payer reimbursement methodology required.
</li><li>Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan
</li><li>Req Proficient skills and knowledge in MS Office/ Windows
</li></ul><p></p><p><b>Preferred Qualifications:
</b></p><ul><li>Pref Bachelor&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
</li><li>Pref Experience and knowledge of Hospital charging practices.
</li><li>Pref Healthcare operations experience, particularly in an acute care hospital setting.
</li><li>Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.
</li><li>Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).
</li><li>Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.
</li><li>Pref Skills and knowledge on the following software: Cerner and Craneware
</li><li>Pref Registered Nurse - RN (CA Board of Registered Nursing)
</li><li>Pref Pharmacy Technician (CA DCA)
</li></ul><p></p><p><b>Required Licenses/Certifications:
</b></p><ul><li>Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire.
</li><li>Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
</li></ul><p></p>The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate&rsquo;s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.<br>
<p></p><p><b>USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the </b><b>Background Screening Policy Appendix D </b><b>for specific employment screen implications for the position for which you are applying.
</b></p><p></p><p><b>We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at </b><b>uschr@usc.edu </b><b>. Inquiries will be treated as confidential to the extent permitted by law.
</b></p><p></p><ul><li>Notice of Non-discrimination
</li><li>Employment Equity
</li><li><i>Read USC&rsquo;s Clery Act Annual Security Report
</i></li><li><i>USC is a smoke-free environment
</i></li>Digital Accessibility<br>
<li>
</li></ul><p></p><p>If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
</p>https://wd5.myworkday.com/usc/d/inst/1$9925/9925$144704.htmld</div>

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Keystone Health

<div><p>At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs.</p><p></p><p>
The Patient Financial Services Department is seeking a full time Billing and Coding Integrity Specialist to join the team.</p><p></p><p><b>
This role is fully on‑site and is not eligible for remote work.
</b></p><p></p><p>Under the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health. The specialist is responsible for auditing and monitoring appropriate coding guidelines and regulations. Recommending any corrective action and assists with implementing the corrective action. This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current knowledge of coding/billing regulations and guidelines.</p><p></p><p><b>
EDUCATION and/or EXPERIENCE:</b><b> </b>High School graduate or GED equivalency required. Minimum of two years&rsquo; experience in a similar position in a health care setting is preferred.
</p><p></p><p><b>LICENSES and CERTIFICATION:</b> AAPC Billing and Coding Certification required.</p><p></p><p>
Keystone Health is an Equal Opportunity Employer</p></div>

Billing & Coding Integrity Specialist

Providence

<div><p><b>Description
</b></p><p><b>Providence is calling for Charge Description Master Specialist - Full time, Day
</b></p><p>As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), and researches CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The CDM Specialist is entry level RICDM position, and works collaboratively with other CDM Leads, Sr. Specialists and CDM Specialists, to research and resolve requests in a timely manner. The CDM Specialist uses available department CDM tools and resources to ensure chargemaster compliance. The CDM Specialist coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries and monitors the alignment of the individual ministries to the PSJH System's standard CDM. The CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process. The CDM Specialist reviews clinical department charges to ensure Chargemaster and coding compliance. The CDM Specialist also coordinates with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.
</p><p>Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
</p><p><b>Required Qualifications:
</b></p><ul><li><p>Bachelor's Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent educ/experience
</p></li><li><p>Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
</p></li><li><p>3 years hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding principles.
</p></li><li><p>3 years experience with Hospital charging practices.
</p></li><li><p>2 years experience working with EMR related to Chargemaster, preferably EPIC (EAP).
</p></li></ul><p><b>Preferred Qualifications:
</b></p><ul><li><p>1-2 years Operational performance improvement and/or project management experience.
</p></li><li><p>1-2 years Coding experience.
</p></li></ul><p><b>Salary Range by Location:
</b></p><ul><li><p>AK: Anchorage: Min: $35.66, Max: $55.37
</p></li><li><p>AK: Kodiak, Seward, Valdez: Min: $37.17, Max: $57.71
</p></li><li><p>California: Humboldt: Min: $37.17, Max: $57.71
</p></li><li><p>California: All Northern California - Except Humboldt: Min: $41.70, Max: $64.75
</p></li><li><p>California: All Southern California - Except Bakersfield: Min: $37.17, Max: $57.71
</p></li><li><p>California: Bakersfield: Min: $35.66, Max: $55.37
</p></li><li><p>Idaho: Min: $31.73, Max: $49.27
</p></li><li><p>Montana: Except Great Falls: Min: $28.71, Max: $44.57
</p></li><li><p>Montana: Great Falls: Min: $27.20, Max: $42.23
</p></li><li><p>New Mexico: Min: $28.71, Max: $44.57
</p></li><li><p>Oregon: Non-Portland Service Area: Min: $33.24, Max: $51.61
</p></li><li><p>Oregon: Portland Service Area: Min: $35.66, Max: $55.37
</p></li><li><p>Texas: Min: $27.20, Max: $42.23
</p></li><li><p>Washington: Western - Except Tukwila: Min: $37.17, Max: $57.71
</p></li><li><p>Washington: Southwest - Olympia, Centralia &amp; Below: Min: $35.66, Max: $55.37
</p></li><li><p>Washington: Tukwila: Min: $37.17, Max: $57.71
</p></li><li><p>Washington: Eastern: Min: $31.73, Max: $49.27
</p></li><li><p>Washington: South Eastern: Min: $33.24, Max: $51.61
</p></li></ul><p><b>Why Join Providence?
</b></p><p>Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
</p><p>Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
</p><p><b>About Providence
</b></p><p>At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
</p><p>Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
</p><p>Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
</p><p>Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
</p><p><b>About the Team
</b></p><p>Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
</p><p>Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
</p><p><b>Requsition ID: </b>429456
<br>
<b>Company: </b>Providence Jobs
<br>
<b>Job Category: </b>Patient Financial Services
<br>
<b>Job Function: </b>Revenue Cycle
<br>
<b>Job Schedule: </b>Full time
<br>
<b>Job Shift: </b>Day
<br>
<b>Career Track: </b>Business Professional
<br>
<b>Department: </b>4001 SS RC CHARGE DECR MSTR
<br>
<b>Address: </b>WA Renton 1801 Lind Ave SW
<br>
<b>Work Location: </b>Providence Valley Office Park-Renton
<br>
<b>Workplace Type: </b>Remote
<br>
<b>Pay Range: </b>$See Posting - $See Posting
<br>
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p></div>

Charge Description Master Specialist - Full time, Day, Remote

Optima Medical

<div>
 <strong>
  About Optima Medical:
  <br/>
  <br/>
 </strong>
 Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team!
 <br/>
 <br/>
 <strong>
  This role will transition to a fully remote position after up to 30 days of training. To be eligible, you'll need to complete your initial training onsite at our Scottsdale office and remain in good standing. Must reside in Arizona!
  <br/>
  <br/>
 </strong>
 <strong>
  Job Responsibilities:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Review and assign accurate ICD-10-CM, CPT, and HCPCS codes for medical diagnoses and procedures based on clinical documentation.
  </li>
  <li>
   Ensure coding compliance with CMS guidelines, and state/federal regulations.
  </li>
  <li>
   Ability to write precise, professional, and well structured feedback to providers and team members.
  </li>
  <li>
   Assist with claim reviews, denials, and coding-related audits to optimize revenue integrity.
  </li>
  <li>
   Maintain up-to-date knowledge of medical coding guidelines, regulatory changes, and industry best practices.
  </li>
  <li>
   Meet coding productivity and quality standards as required by Optima Medical.
  </li>
  <li>
   High attention to detail and analytical skills to ensure accuracy and compliance.
  </li>
  <li>
   Perform other related job duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Job Qualifications:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Minimum 2 years of experience in medical coding (physician practice or healthcare facility).
  </li>
  <li>
   Certified Professional Coder (CPC) required (AAPC or AHIMA certification). No CPC-A or CCA.
  </li>
  <li>
   Strong understanding of ICD-10-CM, CPT, and HCPCS.
  </li>
  <li>
   Experience with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel)
  </li>
  <li>
   Strong analytical, problem-solving, and communication skills.
  </li>
  <li>
   Ability to work independently in a fast-paced production environment while maintaining high accuracy.
  </li>
  <li>
   Must demonstrate strong written communication skills to provide clear feedback and improve coding accuracy.
  </li>
  <li>
   Strong knowledge of medical terminology, disease processes, and physiology to ensure accurate interpretation of provider documentation.
  </li>
  <li>
   Must live in Arizona.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Join Our Team?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Substantial growth opportunities
  </li>
  <li>
   Leadership and mentoring.
  </li>
  <li>
   Fun work environment (lunches, events, holiday parties)
  </li>
  <li>
   Comprehensive benefits (medical, vision, dental, 401k, paid holidays)
  </li>
  <li>
   Supportive and positive work culture
  </li>
 </ul>
</div>


Medical Coding Specialist (Remote)

Trinity Health

<div>
 <strong>
  Employment Type
  <br/>
  <br/>
 </strong>
 Full time
 <br/>
 <br/>
 <strong>
  Shift
  <br/>
  <br/>
 </strong>
 Day Shift
 <br/>
 <br/>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 This is a M-F, 8a-5p remote position that requires certification. For the Holy Cross Medical Group this individual performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support coding. Neurosurgery experience is highly preferred. CPC license is REQUIRED.
 <br/>
 <br/>
 <strong>
  What You Will Do
  <br/>
  <br/>
 </strong>
 Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice.
 <br/>
 <br/>
 Review chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Ensure each chart is complete according to specified guidelines. Ensure charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers.
 <br/>
 <br/>
 Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy and clean claim submission c. Responsible for balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements
 <br/>
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 Responsible for denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals, root cause analysis and tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
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 Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
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 Perform outpatient clinical documentation improvement review (acute only) as needed.
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 Perform research on charges and communicate findings to intra and inter-departmental colleagues.
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 <br/>
 Maintain a minimum productivity standard, based on service line and charge type; including but not limited to, chart review, charge extraction, E&amp;M level assignment and charge entry.
 <br/>
 <br/>
 <strong>
  Minimum Qualifications
  <br/>
  <br/>
 </strong>
 Other related responsibilities as assigned by manager.
 <br/>
 <br/>
 <ul>
  <li>
   High school diploma or equivalent combination of education and experience.
  </li>
  <li>
   Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.
  </li>
  <li>
   Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
  </li>
  <li>
   Licensure / Certification: CPC license required.
  </li>
  <li>
   Neurosurgery experience preferred
  </li>
  <li>
   Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing. Strong understanding of various medical claim formats.
  </li>
  <li>
   Knowledge of clinical documentation improvement processes strongly preferred.
  </li>
  <li>
   Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
  </li>
  <li>
   Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Position Highlights And Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
  </li>
  <li>
   Comprehensive benefits that start on your first day of work
  </li>
  <li>
   Retirement savings program with employer matching
  </li>
  <li>
   We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
  </li>
  <li>
   We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ministry/Facility Information
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy.
  </li>
  <li>
   We are the only not-for-profit Catholic hospital in Broward and Palm Beach counties.
  </li>
  <li>
   Through strategic collaborations and a commitment to being a person-centered, transforming, healing presence, the 557-bed hospital offers progressive inpatient, outpatient and community outreach services and clinical research trials to serve as our community&rsquo;s trusted health partner for life. We are committed to providing compassionate and holistic person-centered care.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Legal Info
  <br/>
  <br/>
 </strong>
 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
 <br/>
 <br/>
 <strong>
  Our Commitment
  <br/>
  <br/>
 </strong>
 Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
</div>


Coding Specialist - CPC Required

Blue Line Solutions

<div><div><b>Job Title: </b>Contracting Specialist<br>
<b>Company: </b>Blue Line Solutions, LLC<br>
<b>Location: </b>Chattanooga, TN (or Remote with Travel as Needed)</div>
<div></div><div><b>Company Overview</b></div>
<div>Blue Line Solutions is a mission-driven public safety technology company founded by law enforcement professionals to make communities safer through innovative traffic enforcement and intelligence solutions. As a growing organization committed to excellence, integrity, and customer service, we seek individuals who are passionate about supporting public safety and driving operational success.</div>
<div></div><div><b>Position Summary</b></div>
<div>The Contracting Specialist plays a critical role in supporting revenue growth, ensuring compliance, and strengthening customer relationships through effective contract management. This role partners closely with Sales, Legal, Finance, and Operations to manage the full contract lifecycle, support new business opportunities, and drive contract renewals and extensions with state and local government agencies.</div>
<div></div><div>This position also owns the integrity and accuracy of contract data within the company&rsquo;s ERP system, ensuring alignment between executed agreements and financial and operational reporting.</div>
<div></div><div><b>Key Responsibilities</b></div>
<div><b>Contract Lifecycle Management</b></div>
<ul><li>Manage contracts end-to-end, including drafting, review, negotiation, execution, and renewal</li>
<li>Maintain centralized contract repository and track key terms, milestones, and renewal dates</li>
<li>Proactively manage expirations and extensions to minimize revenue disruption</li>
</ul>
<div></div><div><b>ERP Contract Management &amp; Data Integrity</b></div>
<ul><li>Own entry, maintenance, and accuracy of all contracts within ERP system</li>
<li>Ensure alignment between ERP data and executed agreements (pricing, terms, duration, renewals)</li>
<li>Partner with Finance to support revenue recognition and reporting accuracy</li>
<li>Develop standardized processes for contract setup, updates, and renewals</li>
<li>Support reporting and visibility into contract status and pipeline</li>
</ul>
<div></div><div><b>Customer Engagement &amp; Contract Extensions</b></div>
<ul><li>Partner with Sales and Customer Success to drive renewals and extensions</li>
<li>Conduct proactive outreach to agencies ahead of contract expiration</li>
<li>Ensure contract terms align with customer expectations and program performance</li>
</ul>
<div></div><div><b>RFP &amp; New Contract Review</b></div>
<ul><li>Review RFPs and new opportunities for legal, commercial, and operational risk</li>
<li>Provide guidance on requirements, deviations, and compliance considerations</li>
<li>Collaborate cross-functionally to support compliant, competitive responses</li>
</ul>
<div></div><div><b>Sales Support &amp; Contract Development</b></div>
<ul><li>Partner with Sales to structure deals and contracts</li>
<li>Develop and maintain contract templates aligned with company and state requirements</li>
<li>Ensure consistency while allowing for jurisdictional flexibility</li>
</ul>
<div></div><div><b>Negotiation &amp; Risk Management</b></div>
<ul><li>Lead and support contract negotiations with agencies and partners</li>
<li>Balance risk mitigation with commercial objectives</li>
<li>Escalate complex issues appropriately while maintaining deal momentum</li>
</ul>
<div></div><div><b>Compliance &amp; Governance</b></div>
<ul><li>Ensure contracts comply with federal, state, and local regulations</li>
<li>Partner with Legal and Compliance on regulatory changes</li>
<li>Support audit readiness and documentation requirements</li>
</ul>
<div></div><div><b>Qualifications</b></div>
<div><b>Education &amp; Experience</b></div>
<ul><li>3&ndash;5 years of contract management experience</li>
<li>Experience working with state and local government contracts required</li>
<li>Strong understanding of RFP processes and public procurement</li>
<li>Experience with ERP systems for contract management</li>
</ul>
<div></div><div><b>Top Skills</b></div>
<ul><li>Contract negotiation and risk assessment</li>
<li>Strong written and verbal communication</li>
<li>High attention to detail and organization</li>
<li>Cross-functional collaboration</li>
<li>Data accuracy and process discipline</li>
<li>Project and time management</li>
</ul>
<div></div><div><b>Preferred</b></div>
<ul><li>Experience in government technology, public safety, or regulated industries</li>
<li>Familiarity with contract lifecycle management (CLM) tools</li>
<li>Experience working across multi-state regulatory environments</li></ul><br>
<div></div>
<div></div><div><b>Ideal Candidate Traits</b></div>
<ul><li>Detail-oriented and highly organized</li>
<li>Strong business judgment and problem-solving mindset</li>
<li>Comfortable navigating ambiguity in a growing organization</li>
<li>Proactive and able to manage multiple priorities</li>
<li>Collaborative and team-focused</li>
</ul>
<div></div><div><b>Reporting Relationships</b></div>
<div>This position reports directly to the Director of Bids and Proposals and works closely with Sales, Legal, Finance, and Operations</div>
<div></div><div><b>Pay</b></div>
<div>$75,000 per year</div>
<div></div><div><b>Benefits</b></div>
<ul><li>401(k)</li>
<li>Health insurance</li>
<li>Dental insurance</li>
<li>Vision insurance</li>
<li>Paid time off</li>
</ul>
<div></div><div><b>Schedule</b></div>
<ul><li>Full-time</li>
<li>Monday&ndash;Friday</li>
<li>Day Shift</li>
<li>On-site in Chattanooga, TN - Hybrid or Remote (with travel as needed)</li>
</ul>
<div></div><div><b>Why Join Blue Line Solutions?</b></div>
<ul><li>Be part of a mission-driven company focused on improving public safety</li>
<li>Gain hands-on experience in product development and cross-functional collaboration</li>
<li>Work in a supportive environment with opportunities for growth</li>
<li>Contribute to innovative solutions that impact communities nationwide</li></ul></div>

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