Revenue Integrity Specialist

1 week ago


Doha, Baladīyat ad Dawḩah, Qatar Sidra Medicine Doha Full time
Job Summary

The Revenue Auditor is a key member of the Revenue Cycle Team at Sidra Medicine Doha. This role requires a strong understanding of hospital coding, billing, and reimbursement rates, as well as industry standards and practices related to billing and account receivable management. The incumbent must have extensive knowledge of ICD-10, DRG, and CPT/HCPCS coding systems, and be able to communicate effectively at all levels. The Revenue Auditor will perform routine audits of the chargemaster, investigate and analyze issues, and collaborate with other team members to resolve problems.

Key Responsibilities
  • Perform weekly audits of the chargemaster to ensure charge accuracy and compliance with all pricing.
  • Facilitate development of strategies to improve reimbursement after identifying trends that negatively impact revenue capture.
  • Liaise with the Analyst – Clinical Billing Compliance and Systems & Contracts Specialist to implement changes in the chargemaster and/or Contract Management that were identified during routine audits.
  • Analyze coding and charging by Outpatient departments following billing guidelines for high revenue departments.
  • Actively seek opportunities to positively impact Revenue Integrity workflows and metrics, utilizing experience to identify process improvement needs and to design and implement best practices.
Requirements
  • Bachelor's Degree in commerce, health information, or relevant discipline.
  • 3+ years of experience in healthcare compliance, auditing, quality control, finance, and medical affairs.
  • Extensive knowledge of medical devices or the pharmaceutical industry is highly relevant.
  • Coding certification for hospital and/or physician.
  • Proficiency with Microsoft Office suite.
  • Fluency in written and spoken English.


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