Job Summary:
The on-site Sr. Revenue Integrity Analyst reviews and revises accounts to achieve revenue enhancement and compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent establishes and maintains a library of rule, regulations, policies and procedures of all governmental and commercial payors.
Responsibilities:
Experience:
Minimum 8 plus years clinical experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review, required. Previous revenue integrity experience, Excel and Electronic Medical Records experience preferred.
Education:
Graduate of an accredited program (RN,MD,PA), degree in healthcare preferred. Bachelor's degree or equivalent work experience (8 plus years) required.
Licenses / Certifications:
Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H), preferred.
Other:
Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-9-CM codes is preferred. Special Requirements: Requires travel to other WMCHealth Facilities.
About Us:
NorthEast Provider Solutions Inc.
Benefits:
We offer a comprehensive compensation and benefits package that includes:
Customer Relations Representative Benefits: Competitive base salary + commission Performance... ...and professional development Partial remote work opportunities after one year... .... We also invest in our employees' success through ongoing training, mentorship, and...
...activities/outcomes; addressing specific educational needs of individual students and by... ...professional meetings, or by conducting research. Organizes and maintains a system for... ...school's standards and school district policies, and establishes and maintains standards...
...the state of Maine apply at this time. What sets us apart? For starters... ...preferred, we are open to discussing part-time and full-time options if desired! Pay: $28-$31/hourLocation: Portland,... ...Salary and Benefits* Paid Weekly!!* Flexible Assignment to fit your...
...Qualifications: Experience as a reserve officer who has successfully completed DPSST certified reserve academy training, or as a civilian or military law enforcement officer with at least one year of experience, is a plus. Must obtain basic certification from the...
...manual and electric) Able to lift up to 50 lbs and work in refrigerated/freezer environments Prior experience in shipping, packing, or warehouse logistics Effective team communicator with strong reliability PREFERRED SKILLS Experience in multi-...