Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.

Position Summary:

This position is charged with improving revenue results and quality reporting results by taking a global view of clinical and financial processes, charging functions, coding and the interdependencies from the provision of patient care to final bill generation for Horizon Health.

Essential Functions:

• Reviews systems and processes for revenue integrity, charge control functions, COM, and the performance of standard revenue integrity metrics and quality.
• Facilitates requests from insurance companies and government
• agencies for billing review.
• Facilitates and serves as a champion for process change. Works
• closely with clinical leadership on implementing revenue
• enhancement initiatives and education.
• Performs assessments, analytical research and support including, but not limited to: root-cause, analyses, cost/benefit analyses, and
• financial projection for small departments based on volume and/or revenue.
• Support clinical areas with ad hoc inquiries related to compliant
• charge capture practices as needed.
• Keeps abreast of all regulatory policies impacting charge capture,
• operationalizing changes as needed.
• Develops work plans and leads project timelines for small initiatives to complete assigned projects.
• Oversees denials root cause analyses related to revenue integrity
• workflows ( charge capture, COM, etc.) and reports findings and
• recommendations to denials committees.
• Ensures charge capture projects are implemented with proper
• oversight and performs subsequent reviews/audits after
• implementation to ensure project goals are achieved.
• Performs other tasks and work as assigned.
• Has the authority to direct and support employees daily work
• activities. Has authority to undertake or recommend the following
• employment actions: hiring, termination, corrective action and
• performance reviews. Direct Reports: 2-3 Indirect Reports: None
• Assists in planning, monitoring and/or managing budget in functional area of department.

The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital’s goals and objectives.

Position Requirements:

• RN Preferred
• understanding of correct coding principles of CPT /HCSPCS and
• modifier selection as well as CCI edits and billing guidelines.
• Intermediate analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information.
• Knowledge of health care insurance programs.
• Basic clerical and computer skills

Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.

Intrigued? Don’t wait, apply today. We are actively reviewing applicants for the Revenue Integrity Coordinator role. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!