Revenue Integrity Analyst Sr
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
- Require coding certification from the American Health Information Management Association or American Academy of Professional Coders within one (1) year of hire date.
- Require a minimum of three (3) years of strong training and background in coding and reimbursement.
- Require demonstrated knowledge of Medicare, Medicaid, Medicare OPPS reimbursement and third party billing rules and coverage.
- Require demonstrated knowledge of medical necessity rules and Medicare inpatient only list.
Nice To Haves
- Prefer previous auditing experience.
- Prefer demonstrated proficiency in verbal and written communication.
- Prefer 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 various 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.
- Improves the performance of the Revenue Cycle processes including developing best practices, clinical documentation, coordinating issue resolution, and establishing proactive prevention measures.
- Provides excellent customer service and has a high degree of autonomy.
Benefits
- Total Rewards Package
- 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
- Tremendous growth opportunities for hard workers!
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What This Job Offers
Job Type
Full-time
Career Level
Senior
