Revenue Integrity Specialist - Full-Time, Days in Arlington, Texas at Texas Health Resources

Revenue Integrity Specialist - Full-Time, Days

Bring your passion to Texas Health so we are Better + Together

• Work location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011
• Work hours: Full-time, 40 hours, Remote
• Travel: up to 20% local in-person meetings at assigned office location or at THR facility ( mileage reimbursement provided. per THR policy )

Department Highlights:

• Revenue Integrity supports 29 hospitals and approximately 1,300 providers
• Collaborative and interactive remote team

Here's What You Need:

• High School Diploma or Equivalent (required)
• 3 years' experience in Charge Capture for Drug Administration/Hydration Procedures, Emergency Department, Operating Room Services, Anesthesia, Pain Procedures, Gastroenterology/Endoscopy Services, or Cardiovascular/Interventional Radiology Services (required)
• 1 year Epic EMR (preferred)
• Knowledge of CPTs/HCPCS, charge capture and associated charging workflows, as well as charge reconciliation.
• Local Candidates (highly preferred).

• Working knowledge of laws and regulations pertaining to healthcare charge capture, billing, and compliance.
• Demonstrate intrapersonal skills, a positive demeanor, professional skills/approach, good verbal and written communication skills, as well as initiative and self-motivation.
• Must be detail oriented and have basic analytical skills to resolve charge related issues.
• Possess ability to work independently, proactively with limited supervision and also as a team player when called upon.
• MS Office including Word, PowerPoint, Excel and Outlook

What You Will Do:

Charge Capture and Reconciliation

• Accurately post charges for assigned clinical service lines based on review of clinical documentation, physician orders, results, and other charge source inputs.
• Perform charge reconciliation activities to identify and correct missing, duplicate, or inaccurate charges
• Review and resolve assigned system work queues and edits to support timely claim generation and billing readiness.
• Apply established charging guidelines, system workflows, and organizational standards during all charge capture activities.
• Ensure completeness and timeliness of charge posting in accordance with defined service level expectations.
• Execute charge capture activities in compliance with applicable federal and state regulations, payer requirements, and internal guidelines and policies.
• Support internal audit readiness by maintaining accurate and complete documentation of charge-related activities.

Documentation and Charge Capture Improvement

• Identify, document, and communicate discrepancies, errors, operational challenges, root cause observations, and trend identification encountered during charge capture processes.
• Escalate complex, high-risk, or systemic issues to leader for further investigation and resolution
• Participate in issue resolution activities as directed, including rebill and correction workflows.
• Respond to routine inquiries from clinical and operational stakeholders related to charge capture processes and workflows.
• Support onboarding activities, workflow updates, and system changes impacting assigned service lines
• Reinforce correct application of established workflows and procedures.
• Adhere to standardized workflows designed to promote consistency across service lines.
• Participate in process improvement initiatives by identifying inefficiencies and providing feedback
• Support implementation of workflow updates and optimization efforts.
• Support revenue leakage identification by reporting and escalating trends for further review and analysis.

Additional perks of being a Texas Health employee:

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.

Learn more about our culture, benefits, and recent awards.

Entity Highlights:

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.
Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals.

We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

#LI-LB

Primary Location: Arlington
Job: Accounting/Finance
Organization: Texas Health Resources 612 E. Lamar TX 76011
Shift: Day Job
Employee Status: Regular
Job Type: Standard
Schedule: Full-time