Revenue Cycle Quality Assurance Specialist - Neurosciences

Revenue Cycle Quality Assurance Specialist - NeurosciencesLocation: Texas Medical Center-Houston, TexasCategory: Accounting/FinanceMcGovern Medical School at UTHealth HoustonRequisition #: 2300014KWhat we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.UTHealth Houston Neurosciences is hiring for a Revenue Cycle Quality Assurance Specialist to join their team of professionals. The QA Specialist will be responsible for: identifying trends for payments and denials with managed care companies; reviewing WQ’s for solutions and EPIC scrubs required for improved collections and payments; communicating and updating the Revenue Cycle Team with payor policies regarding payment, coding requirements and billing guidelines pertaining to Neurosciences procedure codes; and more.Location: 6400 Fannin Street, Houston, Texas 77030Once you join us you wont want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:

100% paid medical premiums for our full-time employees

Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)

The longer you stay, the more vacation you’ll accrue!

Longevity Pay (Monthly payments after two years of service)

Build your future with our awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as

Free financial and legal counseling

Free mental health counseling services

Gym membership discounts and access to wellness programs

Other employee discounts including entertainment, car rentals, cell phones, etc.

Resources for child and elder care

Plus many more!

Position Summary:Under the direction of the Associate Vice President of Revenue Cycle Management, the Revenue Cycle Quality Specialist will perform data collection, detailed analysis, reporting, coordination of projects and assist in implementing strategies that will improve the quality of the revenue cycle performance. This position will be responsible for assisting management to design procedural training sessions and deliver them.Position Key Accountabilities:

In conjunction with A/R Operations leadership, reviews and redesigns the audit process and associated tools to ensure the appropriate activities are being monitored, measured and reported.

Performs process, operational and system workflow reviews to ensure work processes are efficient and effective. In addition, identifies opportunities for improvement and establishes recommendations for training and education in an effort to optimize workflow, quality and performance.

Performs targeted quality reviews and identifies trends and patterns; compiles audit findings, analyzes and reports the results.

In coordination with managers, develops and maintains performance dashboards and reporting for A/R operation KPI’s.

Performs root cause analysis to identify system issues that may contribute to A/R operations deficiencies.

Participates in developing and launching billing improvement initiatives based on areas of opportunity identified through quality audits and other assessments.

Regularly provides employee productivity, work queue volumes and denial statistics reporting and analysis.

Participates in other quality initiatives as requested.

Performs other duties as assigned.

Certification/Skills:Certified Professional Coder (CPC) preferred.Excellent communication skills, both oral and written, with the ability to convey a positive and professional image. Detail-oriented with strong organizational, analytical and problem solving skills. Strong customer service and relationship management skills. Knowledge of ICD 10, CPT coding and medical terminology. Proficiency with Microsoft products and database tools required. Experience in GE Centricity or Epic professional billing systems preferred.Minimum Education:Associate’s degree in Business or an equivalent combination of education and related experience.Minimum Experience:Three years of relevant experience in Revenue Cycle operations required along with previous experience conducting quality audits preferred.Physical Requirements:Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.Security Sensitive:This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215Residency Requirement:Employees must permanently reside and work in the State of Texas.If you are looking for a great healthcare career in Houston, visithttp://go.uth.edu/careers!University of Texas Health Science Center at Houston (UTHealth)Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.UTHealth BenefitsUTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.https://www.uth.edu/benefits/benefits-summary.htmEqual Employment Opportunity StatementUTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.UTHealthHoustonhas adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19. This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S. Dunn Behavioral Science Center.In addition, all UTHealthHouston​​​​​​​employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’sHoustonrules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination and safety requirements.Work location is based on the needs of the department and may be adjusted.