Revenue Integrity Analyst, Revenue Cycle Billing

Revenue Integrity Analyst, Full-Time Days Revenue Cycle Billing Operations Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary Provides support and insight into Revenue Cycle processes including front-end avoidable denials, charge capture/ reconciliation, report trending and analytics, training/education as needed. Responsible for the overall timely and accurate capture of patient service revenue, participates or works with Revenue Integrity Coordinator for the development or maintenance of the Charge Description Master, (CDM). Focusing on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all clinical charging departments to ensure clear communication and a collaborative approach to implementing best practice processes. Serving as liaison, this position is responsible for monitoring and communicating current regulations and reporting requirements as set by government or other payers, and ensuring any changes are properly implemented through project oversight. Minimum Qualifications Formal Education Required: Bachelor’s degree in Business Administration, Health Services, Finance or closely related field, or the equivalent in training and experience. Experience & Training Required: Three (3) years related professional/business experience in a technical/financial healthcare environment to include demonstrated experience in utilization of Epic that has provided leadership skills. Licenses/Certifications: Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC (CPC-H) and/or certification as a Revenue Cycle Integrity Professional (CRIP) - preferred. Other Skills, Competencies And Qualifications Knowledgeable of charging and billing best practices. Solid computer technical skills required, including proficiency with Microsoft Office products (Word, Excel, Access, and PowerPoint). Proven excellent communication and customer service skills, including the ability to progressively investigate, analyze and identify sources of problems, provide practical solutions, and negotiate resolutions. Ability to make independent business decisions, considering both the impact on client satisfaction and overall fiscal impact for the department and organization. Ability to streamline processes for efficiency. Strong analytical aptitude and experience creating financial analysis. Possesses a good sense of general business acumen. Strong understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology. Basic understanding of Accounting Principles and Hospital Financial Reporting. Level of Physical Demands: Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. Basic Life and Accidental Death & Dismemberment (AD&D) Supplemental Life and AD&D Dependent Life Insurance Short-Term and Long-Term Disability Accident Insurance, Hospital Indemnity, and Critical Illness Retirement Savings Plan Flexible Spending Accounts - Healthcare and Dependent Care Employee Assistance Program (EAP) Identity Theft Protection Pet Insurance Education Assistance Daily Pay #J-18808-Ljbffr Summa Health