Revenue Integrity Analyst I - Remote

Tenet Healthcare; Frisco (TX); Remote; Full time

Job summary

A leading healthcare organization is looking for a Charge Description Master Coordinator to maintain CDM for their facilities. This role assists in reporting, training staff, and ensuring compliance with healthcare billing standards. Ideal candidates will have a strong understanding of healthcare terminology, be proficient in Excel, and possess relevant certifications.

Benefits

Medical, dental, and vision insurance

401k with employer match

Paid time off and sick leave

Employee assistance programs

Qualifications

• Entry level position with preferred experience in healthcare billing.
• High School diploma required; college degree is a plus.
• Certifications like LVN, RN, CPC, or CCS highly desirable.

Responsibilities

• Maintains and coordinates the Charge Description Master (CDM).
• Assists with reports and audits related to the chargemaster.
• Provides training and mentoring for new and existing staff.

Skills

Accounting principles

Spreadsheet proficiency

Communication skills

Compliance understanding

Education

High School graduate or equivalent

College degree preferred

Applicable clinical or professional certifications

Job description

JOB SUMMARY

This position is responsible for maintaining and coordinating the Charge Description Master (CDM) for facilities. Assists with reports and tasks directly related to the chargemaster. Provide general training and guidance CDM maintenance. May assists with special projects, as needed, relating to pricing, conversion, new CDM tools, and CDM reviews within the departments. May provide training and mentoring to new and established staff. Act as first line of support for staff questions.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Reviews and maintains all CDM maintenance activity including data entry. May coordinate with leaders/team to assist with special projects related to price increases, special requests from clients, system conversions, or implementation of new CDM tools. May include other duties and/or special projects not listed. Compile, download, and distribution of statistical CDM information.
• Assists with reports and tasks directly related to the chargemaster as assigned.
• Performs reconciliation of data input in order to ensure accuracy of CDM.
• May assist in training and/or education related to new staff, department staff, and client after experience and competence has been documented.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Working knowledge of the principles, practices and tools relating to accounting, financial management, reimbursement, and general healthcare billing.
• Ability to understand and effectively complete report creation, audit techniques, spreadsheet presentations.
• Ability to convince others and persuade to timely action based on regulations, risk exposure level, compliance deficiencies and audit findings.
• Ability to establish and maintain effective working relationships as required by the duties of the position.
• Working knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority.
• Working knowledge of medical terminology and health care nomenclature, systems, HIM coding and general billing/reimbursement practices.
• Ability to convey technical information effectively in verbal and written communications, and in group/business presentations.
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency, including Excel.

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Entry Level: Experience Preferred
• High School graduate or equivalent required
• College degree preferred
• Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, COC, CPC, CCS highly desirable

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
• Ability to travel*
• Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments*

*May require these demands

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
• Hospital Work Environment

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

• Pay: $22.56 - $33.85 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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