Revenue Coding Analyst
Yale New Haven Health
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Responsible for ensuring all charges from the Diagnostic Radiology have been appropriately prepared for posting on the patient's account. Working closely with the Business Services manager, this individual is accountable for the reconciliation of charge code exceptions on a daily basis. In addition this position is responsible for monitoring and tracking all charges that have been released in the EMR (EPIC) for Billing and Coding. Investigates , reconciles and follows up on all accounts being held in Work queues as Billing errors. .Any variances are identified and reconciled in collaboration with Patient Financial Services , Revenue and Reimbursement and the Hospital Billing Office. Individual works directly with Revenue and Reimbursement for updating , initiating and auditing Revenue codes to ensure the appropriate CPT code has been assigned. . The Revenue and Coding analyst works with Imaging manages and supervisors in reconciling and tracking Billing and Coding Edits and Denials for Imaging procedures ensuring optimal reimbursement. Works collaboratively with the Professional Billing leadership and coding team (s) to ensure the codes match for the Imaging procedure performed and the professional intepretation of the procedure. Understands and follows up on all Imaging procedures that have been assigned Modifiers that may impact reimbursement. Reviews and handles interventional procedures performed within Diagnostic Radiology, IE: Breast Imaging procedures, Spine Injections, aspirations etc. to ensure all codes have been appropriately assigned for optimum reimbursement under the direction of the Lead. EEO/AA/Disability/Veteran
Responsibilities
Responsibilities
- 1. Reconciles and monitors all charge adjustments.
- 1.1 1.1 Reviews Error templates from Imaging Managers
- 2. Identifies lates charges as identified in EPIC.
- 2.1 2.1 Identifies charges posting late to patient accounts
- 3. Ensures Imaging Exam codes in EPIC have appropriate CPT and EAP Codes
- 3.1 3.1 Reviews requests for Imaging Exam Codes with section Manager
- 4. Reviews exam charge edits or denials as identified by billing, coding and/or revenue reimbursement.
- 4.1 4.1 Provides feedback and expertise to questions related to charge edits, denials or audits as identifed
- 5. Reviews and documents Imaging charges released from EPIC Daily
- 5.1 5.1 Prepares and runs Revenue and Usage reports from EPIC
- 6. Ensures all Work queues have been processed
- 6.1 6.1 Reviews daily all Billing, Coding, Charge capture work queues
- 7. Performs quarterly audits as identified by the Lead
- 7.1 7.1 Works with Lead and Business Mgr to run quarterly audits
Vacancy posted 4 hours ago
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