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Job Title: Billing Analyst II
Job Code: BLANAII
Department: Revenue Cycle Office
Division: Finance
Grade: Non-Exempt 6
Reports to: Billing Analyst Supervisor
Last Revised: April 2024
Primary Function
The incumbent performs highly technical and specialized functions for the Cherokee Indian Hospital Authority. The employee reviews and analyzes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to analyze the ICD-9-CM, and/or ICD-10-CM, CPT and HCPCS coding for reimbursement. The Revenue Cycle Office functions are a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The Revenue Cycle Office functions also ensure compliance with established guidelines, third party reimbursement policies, US Government regulations and accreditation guidelines.
Job Duties and Responsibilities
Education /Experience
Job Knowledge
Complexity of Duties
Duties are highly complex, varied, require planning and coordinating several activities at one time, and demand the use of critical thinking, problem solving skills and analysis of data and circumstances to develop appropriate actions. Subject to frequent interruptions, in person and by phone, which require varied response.
Contact with Others
Internal contacts occur on a regular basis with departmental personnel. External contacts include clients, families, health professionals, and general tribal population, as well as other tribal entities. Purpose for contacts is for the exchange of information requires tact, courtesy, and professional decorum. Contacts include agencies both federal and state including Indian Health Service, Medicaid, Medicare, and other private insurance companies, attorneys, auditors, and clearing house contractor. Requires the ability to organize work and deal effectively with the public and federal, state, and tribal agencies.
Consistently demonstrates superior customer service skills to patients/customers by displaying Spotlight on Success I CARE behaviors and skills. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
Confidential Data
Has access to all departmental files, memos, financial records and medical records, which are confidential. Must, adhere to all tribal, IHS, and CIHA confidentiality policies and procedures, as well as the Privacy Act of 1974 and the HIPAA regulations, in the performance of duties.
Mental /Visual /Physical
Concentration varies depending on the tasks. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to frequent interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required.
Environment
Work is performed in normal business office environment, with occasional travel required.
Supervision Received
Work under the general direction of the Billing Analyst Supervisor. Has latitude for the exercise of initiatives, discretion, and independent judgment within the Cherokee Indian Hospital Authority.
Responsibility for Accuracy
Review of work and subsequent procedures would detect most significant errors of job functions. However, errors that are more serious could result in inefficient operations and loss of revenue and audit non-compliance.
Because information in the medical record is the basis for reimbursement as well as clinical decision-making, coding entries must be complete and accurate. The amount of reimbursement depends on the correct coding of diagnoses and procedures and appropriate DRG/APC assignment. The work has a direct effect on medical record keeping and a direct impact on the accuracy, documentation, timeliness, reliability, and acceptability of information in the medical record services.
Work has considerable impact on the accreditation status of the hospital, quality of patient care, reliability of research data, compliance and the maximization of Third-Party reimbursement.
Customer Service
Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
Full Time
Hospital
$51k-69k (estimate)
06/08/2024
08/07/2024
cherokeehospital.org
CHEROKEE, NC
200 - 500
2014
CASEY COOPER
$50M - $200M
Hospital
CHEROKEE INDIAN HOSPITAL AUTHORITY is a medical practice company based out of 1 HOSPITAL RD, Cherokee, North Carolina, United States.
The job skills required for Billing Analyst II include Billing, Customer Service, Problem Solving, Time Management, Initiative, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing Analyst II. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing Analyst II. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Billing Analyst II positions, which can be used as a reference in future career path planning. As a Billing Analyst II, it can be promoted into senior positions as a Billing Analyst III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing Analyst II. You can explore the career advancement for a Billing Analyst II below and select your interested title to get hiring information.