What are the responsibilities and job description for the REVENUE INTEGRITY ANALYST - CB position 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
