Revenue Integrity Analyst

Citizens Health•Colby, KS

9d•Onsite

About The Position

Citizens Health is recruiting a Revenue Integrity Analyst to work full-time in our Financial Services department. Our Mission: Enhancing the lives of those we serve. About Us : Citizens Health is a community based, private, not-for-profit organization. It is comprised of: Citizens Medical Cente r - a 25 bed critical access hospital Family Center for Health Care - an outpatient rural health clinic Prairie Senior - a skilled nursing facility Citizens Clubhouse - an onsite childcare center that cares for children 6 weeks to school age for our workforce Citizens Medical Equipment - our durable medical equipment business Palace Drug Store - our outpatient pharmacy We strive to be progressive, dependable and knowledgeable, while providing compassionate, evidence-based care to the residents of northwest Kansas. Location: 100 E College Ave, Colby, Kansas Position Information: Coordinate payment plans for patients, find resources for insurance or other payment sources, assist patients to understand expected costs for upcoming procedures and other financial related activities Days: Monday through Friday Hours: 8am to 5pm Pay Range: dependent upon experience. What you’ll do: Interact with clinical department directors to monitor charge capture functions across all clinical areas. Evaluate current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements. Advise service line leaders and their staff on proper usage of charge codes, identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Provide guidance and communication on correct charge capture, coding and billing processes to clinical departments. Train and assist clinical team with revenue integrity functions. Stay current on industry best practices, and regulatory changes affecting revenue cycle operations. Complete other duties as assigned per organizational need What you bring to the table: Bachelor’s degree in finance, Healthcare Administration, or Business Administration. Experience of more than five (5) years in a hospital setting or healthcare industry with a focus on charge integrity, charge reconciliation or charge compliance will be considered in lieu of education. Strong understanding of healthcare revenue cycle processes, including registration, billing, collections, and reimbursement. Excellent analytical, troubleshooting, and problem-solving skills. Effective communication and collaboration skills across clinical, financial, and technical teams. To be successful within our organization you will need to: Self-starter who takes initiative, is open minded and a team player Maintain a positive attitude with good energy Create a positive, supportive working atmosphere Display integrity and accountability Accept and respond to constructive criticism and suggestions and strives for self-improvement Adhere to organization policies and procedures Arrive at work on time and when scheduled Demonstrate flexibility, initiative and ingenuity in performing job tasks Demonstrate professional conduct and maintains professional appearance Demonstrate behavior that reflects the image of the institution Knowledge of common safety hazards and precautions to establish a safe work environment Available Benefits Medical, dental and vision insurance available Pre-Tax and Roth Contributions Automatic 6% salary deferral upon employment Regular and matching contributions after one-year and 1,000 hours worked Provides Life, Accidental Death and Dismemberment Insurance Full-time coverage - equal to two times employees annual income Part-time coverage - one-time annual income Differential and Certification Pay Eligible employees receive shift, weekend and holiday differential pay Other Benefits Paid time off On-site child care services Funeral leave Health Savings Account Dependent, Medical and Limited Purpose Flexible Spending Accounts The Standard Group Insurance Discounted membership rate for MASA Many More! Citizens Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or discharge history, or any other characteristic protected by law. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for CMCI to hire me. If I am hired, I understand that either CMCI or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of CMCI has the authority to make any assurance to the contrary. Citizens Medical Center, Inc. implements a Drug Free Workplace Program. Drug testing is required of applicants in accordance with relevant laws. If you need assistance to complete th is application or during any phase of the application, interview, or employment process, please notify the Human Resources Department (785) 460-4842, or visit their office located at 100 E. College Drive in the Annex building. Every reasonable effort will be made to accommodate your needs in a timely manner.

Requirements

Bachelor’s degree in finance, Healthcare Administration, or Business Administration.
Experience of more than five (5) years in a hospital setting or healthcare industry with a focus on charge integrity, charge reconciliation or charge compliance will be considered in lieu of education.
Strong understanding of healthcare revenue cycle processes, including registration, billing, collections, and reimbursement.
Excellent analytical, troubleshooting, and problem-solving skills.
Effective communication and collaboration skills across clinical, financial, and technical teams.
Self-starter who takes initiative, is open minded and a team player
Maintain a positive attitude with good energy
Create a positive, supportive working atmosphere
Display integrity and accountability
Accept and respond to constructive criticism and suggestions and strives for self-improvement
Adhere to organization policies and procedures
Arrive at work on time and when scheduled
Demonstrate flexibility, initiative and ingenuity in performing job tasks
Demonstrate professional conduct and maintains professional appearance
Demonstrate behavior that reflects the image of the institution
Knowledge of common safety hazards and precautions to establish a safe work environment

Responsibilities

Interact with clinical department directors to monitor charge capture functions across all clinical areas.
Evaluate current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements.
Advise service line leaders and their staff on proper usage of charge codes, identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections.
Provide guidance and communication on correct charge capture, coding and billing processes to clinical departments.
Train and assist clinical team with revenue integrity functions.
Stay current on industry best practices, and regulatory changes affecting revenue cycle operations.
Complete other duties as assigned per organizational need