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Revenue Integrity Analyst II
7 days agoWhat's your preference?
Job Description
- Req#: R260000000662
Employer Industry: Healthcare Technology Solutions
Why consider this job opportunity:
- Salary up to $66,107.05
- Eligible for an annual bonus plan with a target of 5.00%
- Opportunity for career advancement and continuous learning within a dynamic environment
- Competitive benefits package that supports employee well-being
- Collaborative work environment with cross-functional teams and executive stakeholders
- Chance to make a meaningful impact on patient care and operational efficiency
What to Expect (Job Responsibilities):
- Conduct in-depth audits and analyze complex billing issues to ensure accurate charge capture and reimbursement
- Prepare Excel analyses, including V-Lookups and pivot tables, while validating data accuracy
- Evaluate and implement charge requests with appropriate coding and pricing in alignment with guidelines
- Monitor regulatory changes and payer updates that may affect revenue integrity
- Collaborate with various departments to resolve discrepancies in charge description master and revenue integrity
What is Required (Qualifications):
- Expertise in charge description master, CPT/HCPCS, NCCI, MUE, pricing, and payer contracts
- Strong skills in V-Lookups and pivot tables
- Experience in conducting charge capture audits and identifying discrepancies
- Exceptional verbal and written communication skills
- Certification: CPC or COC + ROCC or relevant experience in RAD ONC
How to Stand Out (Preferred Qualifications):
- Proven ability to analyze data and summarize findings effectively
- Experience working with various departments, including Utilization Management, Clinical Documentation Integrity, and Revenue Cycle Management
- Strong problem-solving skills with the ability to develop action plans for discrepancies
- Familiarity with executive stakeholder management, particularly with CFOs, CCOs, and CMOs
#HealthcareTechnology #RevenueIntegrity #CareerGrowth #CompetitiveBenefits #DataAnalysis
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