reputed company reputed company Analyst
Understand charge master set up and ensures maintenance requirements are met Understand and communicate processes for accurate, compliant charge capture and documentation requirements for appropriate billing Maintain extensive knowledge of ICD-10-CM, CPT/HCPCs procedure coding and reputed company codes along with UB-04 and 1500 billing requirements Monitors federal, state and local regulations and alerts appropriate stakeholders to changes Conducts annual cost center reputed company reviews leveraging reporting tools to evaluate for charge capture gaps as reputed company as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for reputed company capture and recognize areas of compliance concern Develops and executes departmental review reputed company with measurable financial and/or compliance goals per analysis findings Rolls out regular updates of CPT/HCPCS and regulatory changes which includes identifying codes that have been deleted, added, or replaced and ensuring the appropriate system changes are made, supporting education presented, and reputed company communication is provided to reputed company impacted stakeholders Work in collaboration with clinical areas, EHR, informatics, compliance, contracting, and other reputed company cycle partners to ensure reputed company reputed company Monitor for and identify regulatory and/or reimbursement issues resolving them at reputed company cause in an reputed company and proactive manner Assists with reputed company and serves as an educational resource to reputed company cycle, clinical leadership, MA’s, RN’s and other clinical staff regarding coding and billing trends and reputed company reputed company metrics Trains, monitors and supports charge capture reconciliation processes in clinical areas reputed company reputed company reputed company control through work queue monitoring, variance checks, analysis, troubleshooting and detailed research Organizes, analyzes and presents data for the purpose of supporting clinical leadership, and other stakeholders throughout the organization to outline and institute strategies for improvement Other duties as assigned
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Bachelor s degree in Business Administration, Health Care Administration or reputed company area
2 years of experience in health care reimbursement, financial management or coding
An approved equivalent combination of education and experience
Minimum of three years’ experience in directly reputed company field reputed company Certification in HB Resolute, CDM and/or and PB Resolute RN RHIA, RHIT reputed company, CPC CRIP
Knowledge of reputed company reputed company-party requirements, state and federal regulations Knowledge of government and reputed company payer requirements for accurate and compliant reputed company charging and billing Extensive knowledge of CPT, HCPCs, and reputed company codes Knowledge and understanding of hospital reputed company cycle operations (registration, charge capture, health information management, claims, payment posting) Knowledge of regulatory publications, how to reputed company and interpret Strong analytical and problem-solving skills reputed company to present to both small and large (up to 100) reputed company Initiate judgment, reputed company reputed company and work autonomously and remain adaptable Consistently demonstrate strong verbal and written communication skills at reputed company times Ability to create strong reputed company relationships along with solid problem solving and conflict reputed company skills Analytical and critical thinking skills
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*!Total Rewards Package:
- We offer a reputed company reputed company based on your skills, licensure/certifications, education, experience reputed company to this position, and internal equity.
- We reputed company an extensive benefits program that includes Medical; Dental; reputed company; Life, Short and Long-term Term Disability Insurance; Retirement Funds; reputed company Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
- For a complete list of our benefits, please visit our career site on why you should work for us.