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Empowering the Hands that Heal

Revenue Integrity Specialist - PRN - Hybrid

Lewiston, Idaho

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Overview

ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states – 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.

Success Profile

What do you need to be successful at ScionHealth? Here are the top traits we’re looking for:

  • Communicator
  • Creative
  • Deadline-oriented
  • Goal-oriented
  • Problem-solver
  • Strategic

Our Culture

  • Driven by quality: We believe that if we focus on delivering quality care, exceeding expectations related to customer service and supporting our people, our business results will follow.
  • We equip our hospitals and our people with the resources, technology and expertise they need to deliver the best possible care to patients.
  • We’re always looking to find better ways to support caregivers by improving what we do, sharing best practices, and responding to the changing needs of our people and the patients they serve.
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Quote

“ScionHealth allows leaders to inspire the organization to take responsibility for creating a better future.”

Jarrell King Talent Acquisition
Jarrell King, Talent Acquisition

Revenue Integrity Specialist - PRN - Hybrid

Lewiston, Idaho
Facility St. Joseph Regional Medical Center
Req ID 537623 Post Date 04/14/2025 Category Administrative
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Description

Position Summary:

As a Revenue Integrity Specialist, your primary duties are to provide subject matter expertise, operational support, and education related to coding, billing, & documentation. You will have ongoing daily operational tasks as well as project work that supports continuous process improvement efforts related to revenue cycle efficiency and compliance for St. Joseph Regional Medical Center. You will work under the direction of the Revenue Integrity [Cycle] Director and in collaboration with multiple departments within St. Joseph Regional Medical Center, Scion Health, community partners, and revenue cycle vendors. You play a crucial role in identifying opportunities for improvement, facilitating problem-solving, implementing action plans, and developing/improving workflows. The Revenue Integrity Specialist acts as a liaison and facilitator between stakeholders, while providing excellent customer service to both internal and external customers reflective of our Values, and in support of our Mission and Vision.

About the Team:

St. Joseph Regional Medical Center is a 145-bed, acute care hospital located in Lewiston, Idaho and is the largest full-service medical center between Boise and Spokane. We provide a full range of inpatient and outpatient services as well as outpatient clinic services, crossing over multiple specialties and primary care. We want every team member to feel empowered to make the right choices for our patients, themselves, our team, & our community. Our Revenue Integrity team embraces continuous process improvement & learning, open communication, and collaborative decision-making with stakeholders. Our team values taking care of our patients and each other. We encourage kindness, critical thinking, fun, collaboration, continuous learning, and a supportive environment to work and serve our community!

Essential Functions/Primary Duties:

  • Work collaboratively with patient care departments & support departments to improve revenue cycle performance.
  • Provide education & training to physicians, non-physician practitioners, and staff.
  • Analyze data to identify opportunities for improvement and/or to validate processes and workflows are effective.
  • Summarize findings and when needed, make recommendations for solutions to prevent the recurrence of errors.
  • Lead and/or support various process improvement initiatives as requested.
  • Maintain current knowledge of billing & coding guidelines.
  • Maintain current knowledge of payment methodologies and regulatory guidelines impacting revenue cycle.
  • Perform job functions within applicable state & federal guidelines.
  • Navigate within electronic medical record systems, payer systems, and revenue cycle vendor applications.
  • Under the direction of the Revenue Integrity [Cycle] Director, assist in creating internal resources and quick references (i.e. topic-specific regulatory guidance, payer coverage policies, workflow process maps, workflow checklists, etc.)
  • Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of job duties.
  • Maintain a clean, professional, and organized workspace, including electronic systems. Email & outlook calendar should be used throughout your shift and kept organized and up to date.
  • Complete all mandated training/education promptly and completely upon hire and as required thereafter.
  • Other assigned duties that support departmental and/or organizational objectives in support of our Mission, Vision, and Values.

Reports To: Revenue Integrity [Cycle] Director FLSA Classification: Non-Exempt/Hourly

Location: Lewiston, ID ( Hybrid) 

Travel Required: Travel between hospital campus and off-campus locations 


Qualifications

Required Education Level:

  • High school diploma or equivalent

Required Experience:

  • Minimum of 5 years working in a revenue cycle role where medical coding was a significant portion of your job.
  • Minimum of 2 years working in a revenue cycle role where medical billing was a significant portion of your job.

Required Licensure and/or Certification(s):

  • Active medical coding certification from an accredited organization required. (Note: Healthcare provider education is a key job function, as such, certification must include professional coding component).

Required Skills:

  • Advanced working knowledge of ICD-10, CPT, and HCPC guidelines and the ability to apply knowledge when performing job functions.
  • Advanced knowledge of CMS regulations and resources available; and the ability to routinely apply this knowledge in the performance of job functions.
  • Working knowledge of commercial payer, government payer, workers compensation, and liability insurance guidelines and resources; and the ability to routinely apply this knowledge in the performance of job functions.
  • Intermediate proficiency in Microsoft Outlook, Microsoft Word, and Microsoft Excel.
  • Advanced proficiency in navigating electronic computer systems and payer websites.
  • Ability to communicate and work effectively with the public, community partners, and co-workers.
  • Ability to manage job tasks, time, and resources appropriately.

Preferred Education, Licensure, and/or Experience:

  • Experience working on revenue cycle improvement initiatives.
  • Experience working in multiple areas within revenue cycle and/or other revenue generating departments.

Physical Requirements:

  • Constantly operates a computer and other office equipment (phone, scanner, printer, copier, fax, etc.).
  • Frequent work with digital and non-digital data requiring the ability to compare, detect, and assess accuracy of information in paper format and on the computer screen.
  • Must be able to remain in a stationary position for extended periods of time (estimate at least 80%).
  • Must be able to move throughout office, department location, main hospital campus, and off-site locations as needed to accomplish position objectives, and attend meetings and/or training.
  • Must have adequate hearing to respond appropriately to phone, equipment, alarms, overhead codes, etc..

Environment & Working Conditions:

  • Primarily indoors. Occasional travel/movement to and from off-site and on-campus locations, with potential exposure to adverse or extreme weather conditions. Must wear appropriate gear, clothing, and/or shoes.
  • Occasional interaction with the public, including patients of all ages and diverse backgrounds, other visitors, EMS personnel, law enforcement officers, other community partners, and vendors.
  • Minimal exposure to biohazardous materials. Must wear PPE in accordance with hospital policy for situation and area of hospital.
  • Minimal risk of injury from moving parts or exposure to fumes and chemicals from copy machine toner, equipment, office supplies, & cleaning supplies.
  • Frequent exposure to environmental noise created by people, doors, and equipment.

Remote Work Environment:

  • Hybrid (combination of remote & in-person) work is available for this position upon approval.
  • While working remotely, employees must comply with organizational policies, including ensuring a safe and private workspace that complies with all applicable state & federal regulatory guidelines.

Equal Opportunity Employer:

St. Joseph Regional Medical Center is committed to Equal Employment Opportunity and complies with all applicable laws prohibiting discrimination in employment because of color, race, gender, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veteran’s status and any other basis protected by applicable federal, state or local law.

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Benefits

  • Career Development

    We support growth and development for all our employees through various means and in programs designed to foster inclusion.

  • Healthcare

    Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.

  • Retirement Plan

    Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.

  • Paid Time Off

    With paid holidays and unlimited PTO, you are encouraged to take the time you need to relax and recharge with family and friends.

  • Work-Life Balance

    Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they’re allowed to be their best selves in and out of the office.

  • Miscellaneous Benefits

    Whether you’re looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.

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