Other Jobs To Apply
No other job posts for this day.
Title: Revenue Integrity Analyst
Job Description:
Category:
Patient Billing
Type:
Full Time
Schedule:
Days
Job Ref:
98947
Location: Remote - Florida
Department: Department of Revenue Integrity
Work Type: Full Time
Shift: Shift 1/7:00:00AM to 3:30:00AM
Minimum to Midpoint Pay Rate:$22.78 - $29.62 / hour
Summary
Resolves billing issues, and provides coverage guidelines for billable services to reduce or prevent future claim denials. Employs Craneware Online, EPIC WQ workflows, and other accredited resources for assigned cost center(s) to identify potential reimbursement opportunities in a proactive manner. Ensures the appropriate bundling or unbundling of charges, and applicable modifiers applied so that all charges that are submitted result in optimal reimbursement while following applicable billing, coding and reimbursement regulations within respective areas. Interacts with other departmental staff, i.e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates relevant information to all applicable department personnel. Communicates results through daily interaction and monthly status meeting to the department team. Provides other support as needed.
Requirements
Educational Requirements
Degree/Diploma ObtainedProgram of StudyRequired/
Preferredand/orHigh School Diploma or EquivalentRequired
Additional Requirements
Prefer Bachelor Degree or higher formal education, 2 years formal education post high school in clinical, financial, or coding program.
Experience Requirements
Minimum Years RequiredArea of ExperienceRequired/
Preferredand/or3 YearsHealthcareRequired
Additional Requirements
3 experience in healthcare-related field, in hospital billing, coding and/or charging/reimbursement-related capacity. Additional clinical experience in related field a plus.
State of Florida Licensure Requirements
LicensesRequired/
Preferredand/orNot Required
Certifications/Registration Requirements
Certificates/RegistrationsRequired/
Preferredand/or
Additional Requirements
Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG
US:FL:Fort Myers
Share
Share