Revenue Integrity Analyst in Boone, North Carolina at Appalachian Regional Healthcare System

• Position Summary
  • The Revenue Integrity Analyst is responsible for resolving billing edits from billing, assisting the Revenue Integrity Manger in maintaining the integrity of the hospital system Charge Description Master (CDM), and coordination of all retrospective, concurrent, patient complaint and external billing audits. This position will review denial trends for documentation and/or charging issue opportunities and will serve as a primary contact for all charge-related inquires and issues. Provides support to the charge entry analyst when needed.
  • The Revenue Integrity Analyst’s decisions and actions with patients and families are determined in an ethical manner practicing compassion and respect for the inherent dignity, worth and unique attributes of each person. Effectively communicates with patients/families, visitors, colleagues, physicians, leadership, and volunteers. All areas of nursing practice and care delivery are provided to achieve and maintain top decile results and outcomes for patient experience, quality, and patient safety. The Revenue Integrity Analyst follows and adheres to ARHS policies and procedures, regulatory requirements and standards of behavior.
  • The Revenue Integrity Analyst demonstrates the UNC-A Mission, Vision, and Values in action and approaches work in a way that reflects a bias for action, efficiency, and personal accountability. The Revenue Integrity Analyst demonstrates professional conduct, effective communication, and effective delegation of tasks. Effectively and professionally manages working relationships with coworkers, physicians, and all UNC-A team members in a way that promotes a healthy work environment. Performs duties under general supervision. Always assists coworkers, patients, families, and visitors regardless of the patient assignment, so long as the assistance is in-line with their scope of practice and license.
• Position Qualifications
  • Minimum Education
    • High school diploma or equivalent
    • Completion of recognized course of study for medical billing including medical coding preferred
  • Experience
    • 2 to 4 years of medical business office experience with insurance procedures and data entry
  • Required Registration/License/Certification
    • Coding credential preferred
  • Knowledge, Skills and Abilities
    • Ability to communicate courteously and effectively with the public, patients, family, staff, and physician and acts within the chain of command, utilizing positive verbal and non-verbal skills
    • Competent in delivering safe and effective patient care within legal limits of license and certifications and hospital policies and procedures
    • Knowledge of the continuum of care provided in the patient care department.
    • Ability to demonstrate exceptional customer service to patients, family, staff, and physicians
  • Physical Demands
    • Lifts, positions, pushes, pulls, and/or transfers up to and greater than 50 pounds
    • Manual dexterity and mobility
    • Prolonged, extensive or considerable sitting/standing/walking
    • Bending, squatting, twisting, and turning
    • Near acuity: ability to see clearly at 20 inches or less
  • Working Conditions
    • Regularly exposed to the risk of bloodborne diseases
    • Frequently exposed to hazards from electrical/mechanical/power equipment, odorous chemicals and specimens, and unpleasant elements (accident, injury, slippery surfaces, uneven surfaces), etc.
    • Subject to irregular hours (days, evenings, nights, weekends, holidays) and emergencies
    • Continuous standing and walking long periods = to or greater than > 8 hours per shift
    • Speaking, reading, and writing, expanded > 8 hours per day
    • Exposed to vibration and cramped spaces > 1-hour day
    • Frequently per shift: lifts, carries, pushes, and/or pulls > 50 lbs.
    • Frequently per hour: bends, squats, kneels, twists, turns, and reaches
    • Frequently per minute: hand, finger, and wrist repetition and moderate dexterity
    • Frequently per hour: exposed to soft voices > 3 feet away
    • Frequently per hour: exposed to close eye work
    • Infrequently per shift: may be exposed to ionizing/nonionizing radiation exposure, including x-ray and microwave

About UNC Appalachian UNC-A is the leading healthcare system in the High Country of North Carolina. Committed to building a healthier community and simply Making Life Better. UNC-A offers access to three hospitals, thirteen medical offices and twenty-two outpatient services. UNC-A strives to continuously provide all members of the community with access to the best possible medical treatment, illness prevention, research, and wellness education. Visit apprhs.org for more information. UNC-A s committed to equal employment opportunities to employees and applicants for employment regardless of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, or any other characteristic protected by federal, state or local laws. Discrimination and harassment of any type is prohibited. Employment at UNC-A is contingent upon successful completion of a background and urine drug screen. Want to know more? Contact Us! recruitment@apprhs.org