Careers At Legacy Community Health Services

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Revenue Coordinator

Department: Billing
Location: Houston, TX

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.


Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

 

Job Description

The Revenue Coordinator will engage in our efforts to improve patient satisfaction, clinical outcomes and operational efficiency Revenue Coordinator is responsible for working closely with coders, clinical departments, administrators and physicians to ensure the accurate capture of all charges.

Essential Functions 

  • Responsible for reviewing and ensuring proper reimbursement and revenue capture of Lab services and coding.
  • Coordinates processes between clinical operations and revenue cycle departments ensuring that the accounts audited reflect proper documentation, charge capture, coding, billing and payment
  • Works closely with clinical departments to ensure proper charge capture and complete documentation and coding are in accordance to appropriate payer source and laboratory vendors.
  • Responsible for account/chart research to resolve claim edits, claim denials, coding corrections for laboratory services.
  • Participates in the build and testing of charging systems
  • Assist in the identification of new workflow processes that will improve departmental efficiency
  • Work closely Revenue Cycle IT to resolve technology issues regarding charge capture, claim denials, and coding. c.
  • Responsible for maintaining current ICD-9, ICD-10, CPT and coding skills.
  • Perform internal quality assurance - summarize findings and report these to clinical and revenue team.
  • Identify areas of coding weakness and develop resolution plans to address with clinical team, laboratory vendors, and patients.
  • Review/Audit patient disputes surrounding inappropriate laboratory coding in a timely manner.
  • Review/Audit insurance denials related to coding questions in a timely manner, providing remedy as needed.
  • Manage multiple tasks, prioritizing workload in an efficient manner.
  • Communicate clearly both verbally and in writing.
  • Assist the billing/collection specialists in verifying and correction coding issuers per the insurance request or claim denials.
  • Performs other duties as assigned.

Job Requirements

  • HS Diploma or GED
  • Experience in medical record reviews to support charge validation and revenue integrity
  • Proficiency in MS Office (Word, Excel, PowerPoint), and must have strong data entry skills
  • Knowledgeable of healthcare improvement methodologies
  • Knowledgeable of HIPPA policies, medical terminology and coding workflows
  • Able to relate and communicate positively, effectively and professionally with others
  • Exhibits strong verbal and written communication
  • Ability to be adaptable to work with challenging and demanding tasks and tight deadlines
  • Ability to quickly evaluate and prioritize tasks in a fast-paced environment
  • Demonstrate detail-orientation and superior time management skills
  • Ability to work collaboratively across departmental functions
  • Ability to ensure privacy/confidentiality of employee information at all times.
  • Strong problem solving and analytical skills, with an understanding of core business practices
  • Excellent time management skills, ability to work independently, detail oriented, excellent organizational skills
  • Must be able to manage multiple deadlines and prioritize
  • Adept in decision making responsibilities

 Benefits

  • 9 Holiday + 1 Floating Holiday
  • PTO
  • 403b Retirement Plan
  • Medical / Vision / Dental (if eligible)

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