Medical Billing Charge Integrity Analyst - Revenue Integrity - Remote
Job SummaryBaptist Health is looking to add a Medical Billing Charge Integrity Analyst to our Revenue integrity team at Baptist Metro Square. This is a Full-Time , Remote , Days opportunity.
The Charge Integrity Analyst is tasked with working out of Epic work queues to identify missing charges or modifiers. You will be asked to perform root-cause analysis to identify the source of these errors, then provide full-circle communication related to your findings. The successful candidate will be comfortable working in Epic, have a strong coding background, and a high attention to details. The ideal candidate will have a strong understanding of Revenue Cycle, experience handling claims, and be able to work independently.
As a Charge Integrity Analyst, you will be responsible for:
• Managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection.
• Discover the root cause of revenue issues and develop corrective action plans and provide education on those plans.
• Working closely with assigned departments and ensuring work queues are being addressed and offering support, guidance, and education as needed.
• Evaluated existing workflows for efficiency and effectiveness to recommend changes as needed.
• Discovered revenue issue root cause and recommend corrective action
• plans.
• Assists with the implementation of new systems or procedures related to charging integrity activities.
• Reviews denied charges by investigating reasons for denial and taking appropriate corrective actions.
• Communicates with other departments to resolve customer inquiries regarding billing issues.
• Analyzes and solves DNB edits and errors in multiple work queues in EPIC
Remote Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West virginia, Wyoming.
This Charge Integrity Analyst will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now.
Status Full-Time
Shift Details Days
Education Required High School Diploma/GED
Education Preferred Bachelor's Degree
License and Certification
• Certified Coding Specialist (CCS) Preferred
• Certified Compensation Professional (CCP) Preferred
• Registered Health Information Technician (RHIT) Preferred
• Certified Professional Coder (CPC) Preferred
• Registered Health Information Administrator (RHIA) Preferred
• Certified Medical Administrative Specialist (CMAS) Preferred
• Licensed Registered Nurse Preferred Or Licensed Practical Nurse Preferred
Experience
• 3-5 Years Experience with CPT/HCPCS Codes or Charging Required
• 3-5 Years Coding Experience Required
• 1-2 years Third Party Billing and Payment Methodologies Experience Required
• 1-2 years Knowledge of Federal and State Regulations Required
• Epic HB/PB Revenue Integrity Experience Preferred
• Experience reviewing medical records and utilize VitalWare for appropriate assignment of CPT codes, revenue codes, modifiers, MUE edits, and any-related devices pertaining to procedures performed. Preferred
• Experience resolving and coordinating revenue cycle issues (registration, coding, billing, customer service, and chargemaster) quickly and consistently with goal to continually improve the revenue cycle.
Education:
• High school or equivalent (Required)
Experience:
• CPT coding: 3 years (Required)
License/Certification:
• Certified Coding Specialist (Preferred)
Work Location: Remote
Apply Now
Apply Now
The Charge Integrity Analyst is tasked with working out of Epic work queues to identify missing charges or modifiers. You will be asked to perform root-cause analysis to identify the source of these errors, then provide full-circle communication related to your findings. The successful candidate will be comfortable working in Epic, have a strong coding background, and a high attention to details. The ideal candidate will have a strong understanding of Revenue Cycle, experience handling claims, and be able to work independently.
As a Charge Integrity Analyst, you will be responsible for:
• Managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection.
• Discover the root cause of revenue issues and develop corrective action plans and provide education on those plans.
• Working closely with assigned departments and ensuring work queues are being addressed and offering support, guidance, and education as needed.
• Evaluated existing workflows for efficiency and effectiveness to recommend changes as needed.
• Discovered revenue issue root cause and recommend corrective action
• plans.
• Assists with the implementation of new systems or procedures related to charging integrity activities.
• Reviews denied charges by investigating reasons for denial and taking appropriate corrective actions.
• Communicates with other departments to resolve customer inquiries regarding billing issues.
• Analyzes and solves DNB edits and errors in multiple work queues in EPIC
Remote Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West virginia, Wyoming.
This Charge Integrity Analyst will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now.
Status Full-Time
Shift Details Days
Education Required High School Diploma/GED
Education Preferred Bachelor's Degree
License and Certification
• Certified Coding Specialist (CCS) Preferred
• Certified Compensation Professional (CCP) Preferred
• Registered Health Information Technician (RHIT) Preferred
• Certified Professional Coder (CPC) Preferred
• Registered Health Information Administrator (RHIA) Preferred
• Certified Medical Administrative Specialist (CMAS) Preferred
• Licensed Registered Nurse Preferred Or Licensed Practical Nurse Preferred
Experience
• 3-5 Years Experience with CPT/HCPCS Codes or Charging Required
• 3-5 Years Coding Experience Required
• 1-2 years Third Party Billing and Payment Methodologies Experience Required
• 1-2 years Knowledge of Federal and State Regulations Required
• Epic HB/PB Revenue Integrity Experience Preferred
• Experience reviewing medical records and utilize VitalWare for appropriate assignment of CPT codes, revenue codes, modifiers, MUE edits, and any-related devices pertaining to procedures performed. Preferred
• Experience resolving and coordinating revenue cycle issues (registration, coding, billing, customer service, and chargemaster) quickly and consistently with goal to continually improve the revenue cycle.
Education:
• High school or equivalent (Required)
Experience:
• CPT coding: 3 years (Required)
License/Certification:
• Certified Coding Specialist (Preferred)
Work Location: Remote
Apply Now
Apply Now