Revenue Integrity Analyst

University of Missouri-Columbia; Columbia Township (MO); Hybride; USD 59 000 - 97 000; Plein temps

Avantages offerts par ce poste

Medical, dental and vision plans

Retirement benefits

Paid time off

Disability insurance

Educational fee discounts

Résumé du poste

University of Missouri-Columbia is seeking a Revenue Integrity Analyst to monitor adherence to charge reconciliation, review CPT/HCPCS changes, and optimize reimbursement. The role involves conducting revenue integrity reviews, investigating issues, and developing tracking tools for potential revenue leakage.

The position requires a bachelor's degree in business or healthcare and at least three years in healthcare revenue cycle, coding, or a related field, with a work-from-home option under the

Qualifications

• Bachelor's degree in business, healthcare, or related field or an equivalent combination of education and experience.
• Three (3) years of experience in healthcare revenue cycle, coding, clinical, or a related field.
• Knowledge of CPT-HCPCS and CMS Medicare reimbursement methodologies (preferred).

Responsabilités

• Monitor revenue departments' adherence to charge reconciliation processes and metrics measured by key performance indicators.
• Review changes in CPT, HCPCS, and revenue codes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement.
• Perform revenue integrity reviews and present findings for corrective action.
• Serve as a resource for organizational and operational matters related to revenue integrity issues.
• Monitor, investigate, and resolve revenue integrity concerns and opportunities reported in their area and provide any necessary follow-up.
• Develop tools to track and identify potential areas of lost revenue.
• Plan and conduct regular meetings with assigned Divisions to review KPIs and discuss potential revenue leakage and performance improvement opportunities.

Connaissances

Revenue cycle

Coding

Communication

Analytical skills

CMS Medicare knowledge

Formation

Bachelor's degree in business, healthcare, or related field

Description du poste

Hiring Department

Department of Plan Administration

Job Description

#upjobs

Monitor revenue departments' adherence to charge reconciliation processes and metrics measured by key performance indicators. Review changes in CPT, HCPCS, and revenue codes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement. Perform revenue integrity reviews and present findings for corrective action - these are reviews of a specific topic with a focus on documentation and coding requirements. Serve as a resource for organizational and operational matters related to revenue integrity issues. Monitor, investigate, and resolve revenue integrity concerns and opportunities reported in their area and provide any necessary follow-up. Develop tools to track and identify potential areas of lost revenue. Plan and conduct regular meetings with assigned Divisions to review key performance indicators and discuss potential revenue leakage and performance improvement opportunities.

Eligible to work four ten hour shifts or five eight hour shifts.

This position is eligible for the University Physicians work from home program

Shift

Monday - Friday 8-5

Minimum Qualifications

• Bachelor's degree in business, healthcare, or a related field or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.


• Three (3) years of experience in healthcare revenue cycle, coding, clinical, or a related field.

Preferred Qualifications

• Years of Experience: Experience in HC, preferably 5+ years, but not required.


• Additional Training: Knowledge of CPT-HCPCS, third party reimbursement methodologies, and revenue cycle process. Knowledge of inpatient and outpatient billing requirements, coding guidelines and CMS Medicare reimbursement methodology. Excellent communication and interpersonal skills with the ability to effectively interpret, communicate and educate others. Strong quantitative, analytical and organizational skills. Ability to respond to complex inquiries in a professional and efficient manner.

Anticipated Hiring Range

Salary Range: $59,322.00 - $96,761.60 annually

Grade: PAT - 009

University Title: REV INTEG ANALYST, UNI PHYS

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Sponsorship Information

Employment visa sponsorship is not available for this position.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.