Coding and CDM Analyst

FinThrive

92d

About The Position

FinThrive is advancing the healthcare economy by rethinking revenue management to ensure every transaction and patient experience is addressed holistically. We develop award-winning revenue management solutions that adapt with healthcare professionals, allowing providers and payers to focus on their best work. Our end-to-end revenue management platform enhances revenue, reduces costs, expands cash collections, and ensures regulatory compliance across the revenue cycle continuum. We have delivered over $8.8 billion in net revenue and cash to more than 3,245 customers worldwide. Our flexible, work-from-anywhere environment allows team members to collaborate across various locations. We prioritize professional development and have been recognized as a “Great Place to Work” since 2017, fostering a culture of diversity, inclusion, and respect.

Requirements

• Bachelor’s degree and/or 3+ years of extensive chargemaster/or CDM/coding experience in the assessment and integrity of billing, CDM and/or revenue integrity requirements.
• Extensive hospital experience and/or knowledge of hospital and ambulatory Medicare coding & billing guidelines.
• Advanced analytical and interpretation skills associated with U.S. healthcare regulatory documentation.
• Ability to research, analyze, and interpret general business periodicals, professional journals, technical procedures, and complex governmental regulations.
• Strong verbal and written communication skills.
• Advanced proficiency in Microsoft Office, particularly Excel, Word, PowerPoint, Outlook, and Edge.
• Meticulous attention to detail and strong focus on quality.
• Efficient time management skills and ability to multi-task.
• Demonstrated ability to work in a team environment that requires quick turnaround and quality output.

Nice To Haves

• AAPC or AHIMA certification (COC, CPC, CCS) or other appropriate clinical degrees and/or certifications (RN, CRCR).
• Microsoft Office certification.
• Experience using Microsoft Access.

Responsibilities

• Provide chargemaster (CDM) and coding expertise to facilitate understanding of federal and local coding and billing regulations.
• Maintain and ensure reliable proprietary content and compliance recommendations across FinThrive Solutions.
• Evaluate and provide operational improvements in business processes related to billing, CDM, and clinical coding integrity.
• Understand the designated hospital charge structure and develop recommendations for content across FinThrive products.
• Perform quarterly, annual, and as needed research associated with the development and maintenance of proprietary coding and compliance related content.
• Research and develop coding requirements associated with CPT/HCPCS codes, revenue codes, modifiers, and other regulatory updates.
• Develop, maintain, and QC proprietary content data that occurs off-cycle, quarterly, and annually.
• Perform quality review as designated by policy and procedures to ensure accurate and reliable content.
• Coordinate, manage, and plan designated projects in collaboration with other departments to achieve projected deadlines.
• Conduct audits to ensure content data integrity and compile audit statistics and summary analysis monthly.
• Compile statistics associated with proprietary content updates and other designated work.
• Attend customer meetings as required as a compliance and content subject matter expert.
• Respond to customer compliance-related questions via SalesForce cases and partner queries within three business days.
• Assist in training other team members regarding coding and compliance.
• Actively participate in departmental and company-wide meetings.
• Adhere to all departmental and company-wide policies and procedures.
• Assist manager with daily operations as needed.
• Promptly report content issue and/or data display issues to the team manager.
• Become knowledgeable of internal controls responsibilities through training and ongoing instruction.
• Assist with internal control failure remediation efforts.
• Cross-train in other coding and compliance department areas as needed.

Benefits

• Flexible, work-from-anywhere environment.
• Flexible time off to travel, refresh, and spend time with family and friends.
• Professional development opportunities through training and education.
• Award-winning culture recognized as a 'Great Place to Work' since 2017.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees