Consultant - Revenue Compliance Analyst in Phoenix, Arizona at Valleywise Health System

Under the direction of the Manager and Director Revenue Integrity, this position research Federal and State regulations as they pertain to billing/revenue and CDM. Has working knowledge of chart/bill audits and clinical documentation and coding requirements. Performs independent reviews of patient charts and corresponding charges to ensure completeness and appropriateness of revenue cycle functions and charges. Analyzes the audit results, makes recommendations for corrective action when problems are discovered, and works with the Business Office, compliance, IT, finance, and clinical areas to facilitate all action plans and process changes. Resolves problem accounts in accordance with Valleywise Health policies and procedures. Assists in maintaining the CDM to assure code compliance. Helps develop/implement annual rate changes. Monitors and distributes all regulatory changes that pertain to charging and charge capture. Builds and maintains Department selection table and Cost Center assignment tables in Epic to support the correct routing of Revenue to clinical areas based on services performed.