REVENUE CYCLE SYSTEMS ANALYST
About The Position
The Systems Charge Analyst will support Revenue Cycle with implementing billing system updates needed to ensure revenue integrity, and maintain compliant billing. The Analyst will assist with root cause analysis for charging, coding, billing, denials related issues and work collaboratively with operations and IT to implement EPIC build fixes. Will support the Revenue Cycle Operations Department through the identification, quantification and execution of special projects identifying areas of increased net revenue opportunities related to charging. Will provide reimbursement analysis, assists with bill problem resolution, and provide coverage guidelines for billable services to reduce or prevent future claim denials. This will be accomplished by reviewing current practices as they relate to system interfacing, account audits, contractual language, and any other system or department that may impact the financial health of this institution. Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. Calling All Nurses! Nurse Recruitment Hotline: 718-920-6697; Monday-Friday: 9am-4pm Since its inception in 1884, Montefiore’s mission has been to heal, to teach, to discover and advance the health of the communities we serve. Montefiore's state-of-the-art facilities include the internationally-recognized Children’s Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise. An assortment of insurance products and discount programs through Voluntary Benefits. Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives. Automated Employment Decision Tools Notice (AEDT)
Requirements
- Bachelor’s degree or equivalent in Economics/Statistics, Finance, Business Management, Finance, Healthcare administration or a related field required.
- Three to five years of related health care administration/financial or revenue cycle analysis experience required.
- Experience in financial analysis, budgeting, business and process analysis, working knowledge of third party reimbursement is required.
- Strong analytical skills and excellent communication skills required.
- Knowledge of managed care terminologies and ability to interpret hospital bills, explanation of benefits, and medical records.
- Strong computer and systems application skills.
- Strong knowledge of IT systems such i.e. Crystal Reports preferred.
- Experience in MS Access preferred.
- Knowledge of coding guidelines, both ICD-10-CM and CPT-4 is preferred.
- Hospital Charge Master experience and/or billing or coding experience focused on the CDM is preferred.
Nice To Haves
- Coding/Compliance Certification preferred
- Resolute Hospital Billing Administration, Charge Router and/or Charge Master Epic Applications Certifications, preferred
Responsibilities
- support Revenue Cycle with implementing billing system updates needed to ensure revenue integrity, and maintain compliant billing
- assist with root cause analysis for charging, coding, billing, denials related issues
- work collaboratively with operations and IT to implement EPIC build fixes
- support the Revenue Cycle Operations Department through the identification, quantification and execution of special projects identifying areas of increased net revenue opportunities related to charging
- provide reimbursement analysis
- assists with bill problem resolution
- provide coverage guidelines for billable services to reduce or prevent future claim denials
- review current practices as they relate to system interfacing, account audits, contractual language, and any other system or department that may impact the financial health of this institution
Benefits
- An assortment of insurance products and discount programs through Voluntary Benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
