Revenue Integrity Analyst PSJH Telecommute

16 May 2024

Vacancy expired!

Description:Revenue Integrity Analyst PSJH - Support Admin at Revenue Cycle Business Services.The Local Revenue Integrity Analysts is responsible for charge reconciliation and analysis of financial data as it relates to regulatory compliant charging and billing guidelines. Under general supervision this regional position supports the entire revenue cycle by using clinical expertise and analytical skills to resolve charging and billing issues.General Accountabilities: Demonstrates Providence St. Joseph Health System core values of dignity, justice, excellence, and integrity to customers, employees, and visitors; and provides quality service in the performance of work assignments and duties. Maintains confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information. Demonstrates service excellence and positive interpersonal relations in dealing with others. Responsible to maintain a working knowledge of the culture and different practices/services as a Multi-Facility department and organization. Responds timely and accurately to all requests received.Revenue Accuracy: Independently reviews and analyzes complex daily reports that relate to revenue accuracy. Uses clinical, audit and analytical skills to independently conduct reviews of medical record documentation compared to patient charges on a concurrent and/or retrospective basis. Works closely with charge producing departments and IS and takes initiative in investigating and resolving billing and charging issues. Provides education to clinical departments on charge accuracy and charge compliance. Trains departments on charge entry and reconciliation processes in order to comply with PSJH standards.Revenue Integrity: Responsible for managing daily revenue as related to charging. Serves as a primary revenue integrity resource and liaison for charge producing departments, Revenue Cycle management, HIM-Coding, Case Management and Admitting, and RICDM. Independently addresses patient, department and administrative requests for a variety of issues related to revenue and charge integrity. Performs analysis on suspected issues to determine root cause and provide corrective action plan. Ensure assigned work queues are completed per policy and support department with their assigned work queues for timely resolution. Maintains a detailed and comprehensive roster on the shared drive, of contacts and names/numbers for charging departments. Provide training and support to departments in analyzing and resolving issues related to charge capture.Revenue Compliance: Interprets and resolves government billing edits (NCCI, MUE’s, Coding Pairs, LCD, NCD). Responsible for making recommendations to ensure billing compliance regulations and PSJH standards are adhered to as it relates to charging. Maintains expertise in multiple data sources to extrapolate information needed for analyzing and auditing clinical and financial records. Identifies and recommends improvements/adjustments to the Local Revenue Integrity Manager. Assists in charging audits, internal charging audit, and external charging audits. Manages change requests through IS ticketing system and provide appropriate documentation for all requests.Qualifications:Required qualifications:Experience in the healthcare industry (business office, finance, revenue audit, coding)

Preferred qualifications:Bachelor's Degree Healthcare or Finance

3 years of experience analyzing information and decision making

Experience with Epic charge capture and work queue management.

Coding certification or experience

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.About the department you will serve.One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefitsWe offer comprehensive, best-in-class benefits to our caregivers. For more information, visithttps://www.providenceiscalling.jobs/rewards-benefits/Our MissionAs expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.About UsProvidence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.Schedule: Full-timeShift: DayJob Category: Billing/InsuranceLocation: California-IrvineOther Location(s): Montana, California, Washington, Oregon, Texas, AlaskaReq ID: 358076

Full-time
  • ID: #41003007
  • State: Texas Ustx 00000 Ustx USA
  • City: Ustx
  • Salary: USD TBD TBD
  • Showed: 2022-05-16
  • Deadline: 2022-07-15
  • Category: Et cetera