Revenue Integrity Analyst Sr

Sarasota Memorial Health Care System•Sarasota, FL

3d•Onsite

About The Position

This position partners with various departmental staff and physicians: Patient Financial Services (PFS), Case Management (ICM), Health Information Management (HIM), Corporate Compliance, Surgery, Nursing, Physicians, Outpatient Procedural Departments, Reimbursement, and Internal Audit. Serves as a primary resource and educator to these departments for appropriate patient status, charge capture, coding, billing, medical necessity, Medicare rules, and payment methodologies. Leads and participates in various Revenue Cycle committees, appeals processes, and contributes to changes which improve overall compliance and improve revenue recognition. The primary goal of this position is to improve the performance of the Revenue Cycle processes including developing best practices, clinical documentation, coordinating issue resolution, and establishing proactive prevention measures. This position provides excellent customer service and has a high degree of autonomy.

Requirements

Coding certification from the American Health Information Management Association or American Academy of Professional Coders within one (1) year of hire date.
A minimum of three (3) years of strong training and background in coding and reimbursement.
Demonstrated knowledge of Medicare, Medicaid, Medicare OPPS reimbursement and third party billing rules and coverage.
Demonstrated knowledge of medical necessity rules and Medicare inpatient only list.

Nice To Haves

Previous auditing experience.
Demonstrated proficiency in verbal and written communication.
Demonstrated ability to relate well to others in a variety of functional areas, handle multiple responsibilities simultaneously and to problem-solve and think both creatively and analytically.

Responsibilities

Serves as a primary resource and educator to departments for patient status, charge capture, coding, billing, medical necessity, Medicare rules, and payment methodologies.
Leads and participates in Revenue Cycle committees and appeals processes.
Contributes to changes which improve overall compliance and improve revenue recognition.
Improves the performance of Revenue Cycle processes including developing best practices and clinical documentation.
Coordinates issue resolution and establishes proactive prevention measures.
Provides excellent customer service.

Benefits

Paid Time Off (start earning PTO on day one of employment)
Tuition Reimbursement
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
Life Insurance
Competitive rates
Bonuses offered
Disability Insurance
Retirement Savings Plan: 403b
Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
Bereavement Leave
Free Parking
On Campus Dining w/ a 10% discount
Credit Union w/ teller machines on campus
Direct Deposit
Free Wellness Screening
Free confidential counseling services
Employee Discount Programs
Recognition Programs
Referral Programs