What are the responsibilities and job description for the Revenue Integrity Analyst position at Catholic Health System?
Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days
Hours:
Flexible 7am-3pm, 8am-4pm, 9am-5pm
Summary:
Under the direction of the Director, Revenue Integrity, the Revenue Integrity Analyst will assist in the support of the revenue cycle including the maintenance of the charge description masters (CDMs) across Catholic Health. Responsibilities will include: 1) Updating and revising the CDM to ensure all federal, state and local payer requirements are incorporated into it 2) Communicating with and educating the clinical areas as it relates to the revenue cycle, the CDM, the charge capture process and charge reconciliation 3) Assist in the implementation of revenue cycle operational improvements in response to problems and denials 4) Work closely with the Manager, Revenue Integrity to monitor, audit and measure the effectiveness of the revenue cycle process and 5) Assist in the analysis and operational set-up associated with new technology, CPT-4 codes and clinical trials.
Responsibilities:
EDUCATION
EXPERIENCE
KNOWLEDGE, SKILL AND ABILITY
WORKING CONDITIONS:
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days
Hours:
Flexible 7am-3pm, 8am-4pm, 9am-5pm
Summary:
Under the direction of the Director, Revenue Integrity, the Revenue Integrity Analyst will assist in the support of the revenue cycle including the maintenance of the charge description masters (CDMs) across Catholic Health. Responsibilities will include: 1) Updating and revising the CDM to ensure all federal, state and local payer requirements are incorporated into it 2) Communicating with and educating the clinical areas as it relates to the revenue cycle, the CDM, the charge capture process and charge reconciliation 3) Assist in the implementation of revenue cycle operational improvements in response to problems and denials 4) Work closely with the Manager, Revenue Integrity to monitor, audit and measure the effectiveness of the revenue cycle process and 5) Assist in the analysis and operational set-up associated with new technology, CPT-4 codes and clinical trials.
Responsibilities:
EDUCATION
- Associates Degree in finance or healthcare related field required
- Bachelor's degree preferred
- Finance, patient accounting or HIM background strongly preferred
EXPERIENCE
- Minimum of five (5) years of experience in coding, billing and/or reimbursement associated with all aspects of the revenue cycle
- Proven experience with process analysis and improvement
KNOWLEDGE, SKILL AND ABILITY
- Proficiency in Microsoft Excel and other Microsoft Office applications
- Strong written and verbal communication skills required
- Strong background in coding, third party reimbursement, spreadsheet analysis, computer usage and system development
- Strong revenue cycle knowledge base
- Basic understanding of clinical concepts and services
- Ability to multi task in a demanding environment
WORKING CONDITIONS:
- Office Environment
- Some local travel is required