ECU Health Medical Center

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals, and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education, and research.

Revenue Integrity Analyst I

Location

United States

Posted

1 day ago

Salary

$51.4K - $74.9K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Revenue Integrity Analyst I

ECU Health Medical Center

Role Description This position contributes and supports Revenue Integrity's Mission towards creating a multidisciplinary Revenue Integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the [client name] organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. Under the direction of the Director of Revenue Integrity, this position is responsible for monitoring, identifying, correcting, with analysis of account errors prior to claim submission to include: - Discharge Not Billed (DNB) - Stop Bills (SB) - Workqueues (WQ) - Dashboards Responsibilities Daily Functions: - Assist in daily resolution of billing edits that are holding patient claims from billing, by reviewing the medical records and other applicable documentation. - Expected to identify, report, and participate in the resolution of any potential or actual revenue/charge related issues. - Coordinate Charge Description Master (CDM) error findings with CDM team. - Review patient records and assist with account fixes, charge reconciliation for other departments based on clinical documentation. - Monitor EPIC Revenue Integrity Dashboard(s). - Respond to departmental charging inquiries timely. - Provide support for assigned cost centers within service lines and in collaboration with your team. - Work with Coding and other clinical departments to identify/fix errors based on ICD/CPT Coding Guidelines and National Correct Coding Initiative edits. - Contribute in support of quarterly improvement initiatives through reviews as directed by department director or team leader. - Serve as primary service line representative for all charge related inquiries and issues and proper usage of charge codes. General Expectations: - Perform quality work within deadlines and/or Key Performance Indicators (KPIs) with or without direct supervision. - Interact professionally with coworkers and customers. - Work effectively as a team contributor on all assignments. - Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations. - Deliver positive patient experience, where applicable. - Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes. Qualifications - High school diploma or GED. - Applicable professional certification through AHIMA (CCA) or AAPC (CPC A, COC-A) are highly desirable. Must obtain professional credential within 6 months of employment. - One (1) to three (3) years of experience in the hospital setting, healthcare industry or coding. EPIC HB/PB experience preferred. - Current knowledge of revenue cycle processes and hospital/medical billing. - Understanding of components of electronic medical record. - Current knowledge of code data sets to include CPT, HCPCS, and ICD. - Current knowledge of NCCI edits, and Medicare LCD/NCDs. - Interpersonal and communication skills, analytic and organizational skills, critical thinking and the ability to meet deadlines. - Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet. Pay Range $51,355.20 - $74,851.92/year Other Information - Remote role (based out of Greenville, NC) - Monday - Friday day shift - Great Benefits Company Description ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

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