Location: Louisville, Kentucky
Job Category: Revenue Integ/Coding
Job ID: 157286
Facility Group: Norton System Services
Job Description

Responsibilities

The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement. Additionally they provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements. Strong attention to detail with extensive knowledge in Pharmacy billing, coding, payor policies, federal regulations and reimbursement methodologies are essential for this role.

**This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina**

Qualifications

Required:

• Three years of experience in healthcare revenue cycle, clinic operations or pharmacy technician
• (Within one year of hire) One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT

Desired:

• Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder OR Registered Health Information Administrator OR Registered Health Information Technician OR Certified Outpatient Coding OR Certified Inpatient Coder ICD-10

Need help finding the right job?

Sign up to receive email alerts on jobs and opportunities!

Screening requirements:

• Background check
• License & education verification
• Employment reference verification
• Drug Screen

Norton Healthcare offers a competitive benefit package, including:

• Paid vacation, sick days and holidays
• Paid parental leave
• 403b/401k retirement plan
• View more: Benefits Guide
• Medical, Dental, and Vision Insurance

Discover meaningful career opportunities at NortonHealthcareCareers.com.
Norton Healthcare Careers - Together, We Will.

Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's second largest employer, with more than 20,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Norton Healthcare strives to make the Norton Healthcare Careers site accessible to all job seekers. If you're a candidate with a disability, we will make reasonable efforts to accommodate your needs during the application process.

If you have a disability and need to request a reasonable accommodation, email recruitment@nortonhealthcare.org

Equal Employment Opportunity is the law.