Revenue Integrity Coordinator - remote

Description

Job Description

PeaceHealth is seeking a Revenue Integrity Analyst - Commercial Billing for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $28.02 – $42.04. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

The revenue integrity analyst is responsible for ensuring the accuracy and compliance of billing processes. Key responsibilities include: Rectifying overcharges and underpayments to ensure accurate revenue capture, ensuring adherence to government regulations and managed care contracts; collecting data and producing reports to support revenue cycle operations.

• Must currently live in WA, OR, AK, TX or willing to relocate by date of hire.
  
  

Details of the Position:

• -Analyzes billing data for correctness and insurance denials to determine errors that are systemic in nature as a means to flag issues for process improvement; queries, pulls and evaluates financial and billing information; evaluates charge code requests to determine their validity and indicates to department leader any issues and proposed modifications prior to forwarding for finalization.
• Conducts reviews on accounts from different departments including but not limited to Utilization Review for corrected patient class billing; makes patient class corrections in Epic.
• Conducts thorough review of accounts that need to be billed from Inpatient to Observation; complete Medicare AB Rebills with application of Condition Code 44, and provision of MOON processes when appropriate in compliance with CMS regulations supported by medical record documentation.
• Conducts review of bed charge errors and makes the appropriate adjustments or corrections and rebills the claim.
• Conducts review of Hemodialysis (End Stage Renal Disease) claim edits and completes corrections and adjustments for compliant billing.
• Provides communication through interpreting and conveying information, establishing and maintaining open communications between customers and staff; ensuring compliance with departmental and organizational changes and events through reading posted communications and attending unit and assigned meetings.
• Performs other duties as assigned.
  
  

What You Bring:

Education

• Associates Degree Required: Business and/or Health Information Management.
• Bachelor's Degree Preferred: Business, Health Information Management, or equivalent combination of education and experience
  
  

Experience

• Minimum of 1 year Required: Hospital billing and/or insurance payment verification or equivalent education and/or experience
• Minimum of 1 year Required: Hospital Claim Edit and/or Coding or Revenue Integrity or equivalent education and/or experience
  
  

Skills

• Strong oral, written and interpersonal communication skills (Required)
• Excellent attention to detail with strong analytical and problem solving skills (Required)
• Advanced computer skills to include Excel, Word, and knowledge of software for hospital contract and/or claims management (Required)
• Ability to accurately run reports and analyze data; ability to navigate multiple software sites simultaneously (Required)
• Ability to work autonomously or as part of a team (Required)
  
  

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
  
  

Environmental Conditions

• Predominantly operates in an office environment.
  
  

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
  
  

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.