Analyst-Revenue Integrity FT Remote Position Available In Shelby, Tennessee

Analyst-Revenue Integrity FT Remote

Job ID:

26421

Job Category:

Finance and Accounting

Work Schedule:

Days

Department:

Patient Financial Services

Facility:

BMHCC System Services

Location:

Memphis, TN
Overview
Summary
Full Time Remote
Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role requires extensive knowledge of Medicare Integrated Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and quarterly Revenue Code additions, changes, and deletions.
Accountable for assigned and delegated reports andpletion from senior leadership and/or department director. Assist the Revenue Integrity Coordinator to ensure consistency in delivering services efficiently, timely, and great quality to all hospitals and BMH entities. Assist the Revenue Integrity Coordinator to ensure the integrity of the processes and that federal and statepliance is met in regards to charging and billing practices for healthcare services. Strives to reach and maintain department goals at the highest standard in all areas of responsibility, task, and patient satisfaction as set by Administration and Corporate expectation. Takes initiatives to improve processes, strives for positive customer oues. Leads by example.
Responsible for all shifts, 7 days/week, 24 hours/day.
Responsibilities
Has joint ownership of assigned account and claim edit work queues, clinical departments and continually coordinates between administrative and clinical operations staff to ensure accounts have the correct coding, billing, payment and charge captures. Serves a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capturepliance based upon regulatory, coding, and billing guidelines by payer. Review patient medical records for charge capture and resolution of charge department billing edits in conjunction with reviewing clinical documentation to validate missing charges. Demonstrates Service First characteristics to all. Sets example for department and other hospital personnel. Identifies opportunities for improvement resulting in enhanced service and customer satisfaction. Performs related accountabilities/responsibilities as required or directed withoutplaint. Requirements, Preferences and Experience
Experience
Description Minimum Required Preferred/Desired
A minimum of 3 years in the healthcare industry with a working knowledge of hospital and/or physician revenue cycle functions. A minimum of 6 years in the healthcare industry with a working knowledge of hospital and/or physician revenue cycle functions.
Education
Description Minimum Required Preferred/Desired
Associate Degree or equivalentbination of experience and education. Bachelor?s degree in Health Information Management or Nursing.
Training
Description Minimum Required Preferred/Desired
Working knowledge of current medicare, medicaid, and other regulatory

IPPS/OPPS

guidelines and requirements; nThrive Knowledge Source application; Working knowledge of Microsoft Office products. Attention to Excel application; Knowledge of the different types of clinical settings; Knowledge of facility and professional billing claim forms, fields, and values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and apassionate attitude. Every day they carry out Christ’s three-fold ministry—healing, preaching and teaching. And, we reward their efforts withpensation and benefits packages that are highlypetitive in the Mid-South health caremunity. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit planspared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:

Competitive salaries
Paid vacation/time off
Continuing education opportunities
Generous retirement plan
Health insurance, including dental and vision
Sick leave
Service awards
Free parking
Short-term disability
Life insurance
Health care and dependent care spending accounts
Education assistance/continuing education
Employee referral program

Job Summary:

Position:

10252 – Analyst-Revenue Integrity

Facility:

BMHCC Corporate Office

Department:

HS Central Business Office Corporate

Category:

Finance and Accounting

Type:

Non Clinical

Work Type:

Full Time

Work Schedule:

Days

Location:

US:

TN:

Memphis
Located in the Memphis metro area