Acute Revenue Integrity Analyst

November 5

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hospital care • home care • hospice care • nursing registries • surgery centers

10,000+

Description

• Responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection. • Responsible to discover revenue issue root cause and to develop correction action plan and provide charge capture education. • Recommend modifications to established practices and procedures or system functionality as needed to support revenue cycle and manage implementation of the recommended changes. • Work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goals.

Requirements

• Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an Associate’s degree Applied Health Sciences, Finance or health related field. • Requires a level of knowledge normally gained over 2-3 years of related work in the same type of clinical, medical office or acute care unit. • Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good understanding of reimbursement methodologies. • Requires strong abilities in researching, reading, interpreting and communicating financial data as related to charge capture, effective interpersonal skills, organizational skills and collaborative team working skills. • Must be able to work effectively with Microsoft office software, coding and billing software, Cerner, NextGen and MS4. • Preferred licensure includes coding credentials (e.g. CCA, CCEP, CCS, CCS-P, COC, CHC, CHFP, CPC, CRCM, RHIT, etc.). • Additional related education and/or experience preferred.