Shriners Children's
Bringing hope and healing to families, every day.
Revenue Integrity Analyst
Location
United States
Posted
67 days ago
Salary
Not specified
Seniority
Senior
Associate Degree3 yrs expExperience acceptedEnglish
Job Description
• Ensure all items and services charged through the Charge Description Master (CDM) are described, coded, and priced appropriately
• Educate ancillary departmental and clinical staff on required changes for regulatory and payor changes
• Conduct charge capture assessment activities including interviews, research, and outcomes analysis
• Provide analysis, documentation, and recommendations for changes to the CDM
• Maintain communication with revenue departments regarding operational opportunities
• Collaborate with department managers and staff to identify areas of deficiency and develop process improvements
• Document all changes and revisions to CDM using appropriate software
• Perform audits focusing on revenue cycle integrity
• Develop ongoing education programs on charge capture and billing processes for staff members
Job Requirements
- 1-3 years of experience performing CDM related activities
- Experience with CPT-based coding principles from both inpatient and outpatient reimbursement perspective
- Experience with UB-04, MA claim form, and HCFA-1500 charge development process
- Associate's Degree in business/accounting/finance or healthcare business administration - or combination education and experience considered in lieu of degree
- Epic EMR required
Benefits
- Health insurance coverage from first day
- 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service
- Paid time off
- Life insurance
- Short term and long-term disability
- Flexible Spending Account (FSA) plans
- Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected
- Tuition reimbursement
- Home & auto insurance
- Hospitalization coverage
- Critical illness insurance
- Pet insurance and much more!
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