Revenue Integrity Analyst in Wilson, NC at Wilson Medical Center
Posted on: 6 Feb 2021
Wilson, NC
Job Description
Job Description
Wilson Medical Center
The Revenue Integrity Analyst position promotes charge capture accuracy and proactive management of the charge description master (CDM), requiring full understanding of the revenue management function. Ensures that the CDM is accurate and in compliance with all state and federal regulations for billing, coding and charging methodology. Coordinates and leads the charge master review processes, maintain the integrity of the charge master by conducting periodic review, work with directors/managers to identify need for charge master revisions. Will maintain current knowledge regarding changing regulations, billing/charging and regulatory agency activities, coordinate the process for annual CPT/HCPCS changes. These changes will be educated to the affected departments. Responsibilities include regularly performing chart to bill to remittance audits through coordination with selected clinical and business departments and making recommendations to promote revenue integrity. This position also applies accurate charges and coordinates with revenue generating departments to improve efficiency of posting charges, evaluating trends, recommend and implement process improvements. Will educate on audit findings and requirement to ensure that billing is compliant. Facilitates recommendations to improve procedures, strengthen controls, enhance revenue and improve reimbursement. Submits appeals in attempt to overturn denials from payers.
Performs other work in the department as needed.
Requires experience with Windows, Excel and Word.
Job Requirements
* One year of CDM experience required
* Certified Professional Coder (CPC) required
* 2 Years in Medical/Clinical Office Setting
* Bachelors' Degree Preferred
* 3 Years CDM preferred
* Registered Health Information Technicial certification preferred
* Certified Coding Specialist (CCS) preferred
LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.
LifePoint Health, Inc.
Brentwood, TN
Across our network and at our Health Support Center, we are united by a shared mission and vision, core values and guiding principles that drive everything we do and inform our approach to patient care, quality and how we do busine. We know that to achieve our vision of creating places where people choose to come for healthcare, physicians want to practice and employees want to work, we must organize around the right strategies. At LifePoint, our strategies are simple and enduring.
Our Operating Groups
LifePoint's facilities and practices are divided into four operating divisions: Eastern, Central, Mountain and Western. Each of these divisions has a leadership team that mirrors a hospital's leadership team, including a president and dedicated physician and provider leadership resources.
Our Health Support Center
Our Health Support Center (HSC), in Brentwood, Tennessee, has subject matter expertise in every area of healthcare operations and provider services. The HSC is organized to bring resources to bear across the continuum of care, from before a patient accesses healthcare services to after they are sent home, while keeping quality and compliance at the center.
On a daily basis, our group leaders and subject matter experts are working with our local markets to help develop and implement the right strategies that ensure healthcare thrives in their communities.
Our Physicians
Physicians are a critical access point to care in our communities. We work to build and maintain collaborative relationships with both our employed physicians and a broad network of affiliated providers, and we provide a full spectrum of practice management and physician support to help secure the delivery of quality care today and for the future.
-
IndustryHealthcare
-
No. of Employees60,000+
-
Website
-
Jobs Posted13300
