Senior Revenue Integrity Analyst

Southeast Alaska Regional Health Consortium•Renton, WA

47d•$36 - $51

About The Position

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more. Responsible for improving the quality of the revenue cycle through the development of user education, coding/HIM workflow and process optimization, and EHR contributions as a coding/HIM subject matter expert.

Requirements

Bachelor's degree or an equivalent combination of education and/or work in Revenue Cycle/HIM/Coding - required
Five years minimum in hospital or physician billing office
Experience in completing hospital charging practices and the revenue cycle flow in hospital financial systems
Revenue Cycle, Clinical Documentation, support applications, and user workflows implicated in Coding and HIM functions
Interface methods, dataflow within the Relational Database Model
Billing and coding practices for IHS, CAH, FQHC, Provider and ancillary services
CPT, HCPCS, revenue code, ICD-10CM
Payer and NCCI edits, rejections, rules, and how to appropriately respond to each
Specific system and payer requirements required for billing
Critical thinking (problem solving, troubleshooting)
Developing new methods to define and identify statistical outliers
Work on different projects simultaneously, work in fast paced setting and multitask in a fast-paced environment and appropriate handle overlapping commitments and deadlines
Highly proficient in relevant computer applications including Microsoft Office programs, including Word, Excel
Manipulating large datasets (500,000+)
Cerner and other electronic records applications

Nice To Haves

AAHAM Certified Revenue Cycle Specialist (CRCS) - preferred
AAHAM Certified Revenue Integrity Specialist (CRIP) - preferred

Responsibilities

Analyzes available data to support the Revenue Cycle Integrity team initiatives in defining and identification of end-user deviations and other inconsistencies
Acts as subject matter expert for CPT/HCPCS coding and documentation requirements
Obtains and compares data from multiple sources and reviews for discrepancies using various applications
Performs quality assurance and validation tasks
Provides education to patient revenue generating departments/providers to ensure compliant charging and coding practices
Develops training and informational documents for clinical and administrative staff in coordination with Informatics teams
Provides 1:1 provider education as requested
Assists in the design and maintenance of Coding modules and workflows
Collaborate with HIM Management in EHR coding and coding support workflows
Provide SEARHC Providers guidelines ensuring compliant clinic documentation
Provider reviews in documentation and charge requirements to ensure reimbursement for services
Create and updating provider job aids supporting clinical services
Collaborate with the CI EHR Training Team on-boarding new providers
Coding/denials encounter reviews
Maintain existing job aids and workflows for HIM coding & coding support processes
Resolve/assign coding/coding support helpdesk ticket
Other duties as assigned