REVENUE INTEGRITY ANALYST - CB in CANTON, Ohio at Aultman Health Foundation

Position Summary

The primary purpose of this position is to serve as a liaison between the coding teams, AMG providers and clinical teams CBO leadership regarding revenue and compliance issues. Responsible for supporting and suggesting charge capture, timely charge entry, missing coding and revenue improvement initiatives. Tasks include researching denied claims or coding concerns from CBO staff members, research assist in routine internal audits, recommend process improvement opportunities and on- going communication with CBO leadership regarding revenue cycle issues. Requires detailed knowledge of assigned area(s), including the operational functions and procedures, understanding the flow of charges, charging information systems. Must be able to interpret Governmental regulations and educate departments affected. Must have a detailed understanding of reimbursement rules for physician services.

Candidates may also be expected to assist in performing other administrative tasks as assigned as well as assisting other areas of the Centralized Billing Office as deemed necessary.

Primary Responsibilities & Requirements

Research denied or pending coding issues to resolution. Work from assigned work ques

Assist in performing monthly audits on assigned AMG practices

Assist in the Interpretation and communicate regulatory changes to affected departments

Maintain attendance (including tardiness) in accordance with departmental standards

Complete safety evaluation, JCAHO Education, TB Testing, Confidentiality, Information Systems usage and HIPAA/Corporate Compliance notification on an annual basis

Exhibit accepted level of Teamwork and RESPECT

Accept change as needed to meet departmental goals

Prepare or assist with other projects/duties as assigned

Desired Job Qualifications/Skill Sets

Coding and or Senior Billing experience in a Hospital setting required.

Experience in physician reimbursement, revenue audits or charge capture required

Knowledge of current Medicare and other regulatory billing guidelines

Ability to manage multiple demands from a variety of constituents

Solid computer skills (Excel, PowerPoint, Access, internet, Medipac, MedAssets, Cerner)

Health information or nursing professional helpful

Strong analytical skills

Pays close attention to detail and presentation

Effective Communicator

CCS, CCSP or Coding Certificate