Revenue Integrity Analyst Senior

Cottage Health; United States; Vor Ort; USD 120.000 - 180.000; Vollzeit

Zusammenfassung

Cottage Health is seeking a Revenue Integrity Analyst Senior for the CH Revenue Integrity department. You will maintain, analyze, standardize, and model revenue charges, provide reference materials and charge compliance education, and assist financial planning and analysis.

You will clear revenue integrity work queues in EPIC and identify root-cause trends in edits. The role requires five years of hospital coding experience, a bachelor’s degree or equivalent, and relevant certifications.

Qualifikationen

• Education: Bachelor’s degree or equivalent work experience.
• Certifications: CCS/CCS-P/CPC/COC or RN/RHIA/EPIC credentials are preferred.
• Technical: MS Excel, billing rules for charges and claims, cost accounting concepts.
• Experience: 5 years Hospital/Health Care Coding experience; 3 additional years Billing or Clinical experience preferred.

Kenntnisse

Attention to detail

Analytical thinking

Communication

Ausbildung

Bachelor's degree or equivalent

5 years Hospital/Health Care Coding experience

Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience

Coding certification (CCS, CCS-P, CPC, COC)

RN license / RHIA / Epic Certification in Resolute Charge Capture and/or Clarity Report Data / CRIP

Tools

MS Excel

Billing knowledge of charges & claim forms

Jobbeschreibung

Job Description

Cottage Health seeks a Revenue Integrity Analyst Senior for their CH Revenue Integrity department responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits.

Job Description

Cottage Health seeks a Revenue Integrity Analyst Senior for their CH Revenue Integrity department responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits.

Qualifications

QUALIFICATIONS:

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

Education:

• Minimum: Bachelor’s degree or equivalent work experience or two years of work experience per one year of required education.

Certifications, Licenses, Registrations:

• Minimum: Coding certification (CCS, CCS-P, CPC, COC)
• Preferred: Registered Nurse. RHIA, Epic Certification in Resolute Charge Capture and/or Clarity Report Data. American Association of Healthcare Administrative Management (AAHAM) - Certified Revenue Integrity Professional (CRIP).

Technical Requirements:

• Minimum: Knowledge of MS Excel. Knowledge of billing requirements related to charges and associated claim forms. Knowledge of cost accounting concepts, principles, and computer applications.
• Preferred: Experience with electronic medical records and clinical application software.

Years of Related Work Experience:

• Minimum: 5 years Hospital/Health Care Coding experience.
• Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience.

About Us

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, CA, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

• Pay for non-physician positions is determined based on related years of experience and internal equity. Eligible employees may also receive additional forms of compensation, including shift differentials, on-call pay, incentive pay, and bonus opportunities, where applicable. Manager and above positions may participate in Cottage Health’s annual management incentive program. Physician compensation is determined based upon specialty and may include bonus potential. For more information on our comprehensive Total Rewards offerings, please visit https://cottagehealth.org/careers/total-rewards .