Revenue Integrity Coding Analyst - Revo Health

Revo Health-posted 4 days ago
Full-time • Mid Level
Remote • Bloomington, MN
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Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner. This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote, in office would be in at our Bloomington location and be a part of the billing team (not the coding team). Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

  • Monitor and manage edits software to optimize clean claims rate and minimize denials.
  • Manage coding denial queues.
  • Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable.
  • Perform analysis of denied claims to identify trends impacting revenue
  • Assist PFS Specialists in submitting appeal and successful
  • Effectively communicate claim trends to aid in finalizing outstanding
  • Investigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts toward
  • Research changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership.
  • Act as subject matter expert for i-Health practice claim denials.
  • Any and all other duties as assigned
  • High School diploma/GED or equivalent
  • Minimum of 5 years’ experience in billing operations preferred
  • Minimum of 5 years’ experience in coding preferred
  • Minimum of 2 years’ experience in RCx Rules or other edits software
  • Ability to: Comply with company policies, procedures, practices and business ethics
  • Complete job required
  • Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, )
  • Maintain prompt and reliable attendance
  • Work in the clinic, office or surgery center during business hours
  • Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required
  • Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
  • Converse in a respectful and professional manner
  • Prioritize workload while being flexible to meet the expectations of the daily operations
  • Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
  • Understand and execute a variety of instructions
  • Effectively operate equipment and communicate on and operate the phone system
  • Work independently with minimal supervision
  • Travel to other work locations, if required
  • CPC preferred
  • Medical, Dental & Vision Plan
  • Maternity Bundle
  • 401K with Profit Sharing
  • Tuition Reimbursement
  • Gym & Car Rental Discounts
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