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Revenue Integrity Analyst

Job Description

Wilson Medical Center



The RevenueIntegrity Analyst position promotes charge capture accuracy and proactivemanagement of the charge description master (CDM), requiring fullunderstanding of the revenue management function. Ensures that the CDM isaccurate and in compliance with all state and federal regulations for billing,coding and charging methodology. Coordinates and leads the charge master review processes, maintain theintegrity of the charge master by conducting periodic review, work withdirectors/managers to identify need for charge master revisions. Will maintaincurrent knowledge regarding changing regulations, billing/charging andregulatory agency activities, coordinate the process for annual CPT/HCPCSchanges.  These changes will be educatedto the affected departments.  Responsibilitiesinclude regularly performing 'chart to bill to remittance'audits through coordination with selected clinical and business departments andmaking recommendations to promote revenue integrity. This position also appliesaccurate charges and coordinates with revenue generating departments to improveefficiency of posting charges, evaluating trends, recommend and implementprocess improvements.  Will educate onaudit findings and requirement to ensure that billing is compliant.  Facilitates recommendations to improveprocedures, strengthen controls, enhance revenue and improvereimbursement.  Submits appeals inattempt to overturn denials from payers.


Performs otherwork in the department as needed.


Requiresexperience with Windows, Excel and Word. 




Job Requirements

  • One year of CDM experience required
  • Certified Professional Coder (CPC) required
  • 2 Years in Medical/Clinical Office Setting
  • Bachelors' Degree Preferred
  • 3 Years CDM preferred
  • Registered Health Information Technicial certification preferred
  • Certified Coding Specialist (CCS) preferred


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

Job Snapshot

Location US-NC-Wilson
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

Wilson Medical Center

Wilson Medical Center is committed to providing excellent care to our community. We serve residents in a six-county service area, including Wilson, Wayne, Nash, Johnston, Greene and Edgecombe counties. Services include interventional cardiology, state-of-the-art cancer care, including clinical trials, women’s and children’s services, and onsite rehabilitative and nursing care. Wilson Medical Center offers the community a full range of services and specialties through our five hospital-based physician practices. Dr. Nadine Skinner and Physician Assistant Becky Buckner offer primary care services for all ages. Dr. Sayeed Hossain of Pulmonary Associates of Wilson, Dr. Ken Johnson of Wilson ENT & Sinus Center, Dr. Louis Antignano of Wilson Gastroenterology and Dr. Ben Thomas of Wilson Neurology all offer the community specialized care in Wilson. Our 90 active staff physicians provide care in a wide range of specialties, including cardiology, radiation oncology, cancer Learn More

Contact Information

US-NC-Wilson
Snapshot
Wilson Medical Center
Company:
US-NC-Wilson
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

Wilson Medical Center



The RevenueIntegrity Analyst position promotes charge capture accuracy and proactivemanagement of the charge description master (CDM), requiring fullunderstanding of the revenue management function. Ensures that the CDM isaccurate and in compliance with all state and federal regulations for billing,coding and charging methodology. Coordinates and leads the charge master review processes, maintain theintegrity of the charge master by conducting periodic review, work withdirectors/managers to identify need for charge master revisions. Will maintaincurrent knowledge regarding changing regulations, billing/charging andregulatory agency activities, coordinate the process for annual CPT/HCPCSchanges.  These changes will be educatedto the affected departments.  Responsibilitiesinclude regularly performing 'chart to bill to remittance'audits through coordination with selected clinical and business departments andmaking recommendations to promote revenue integrity. This position also appliesaccurate charges and coordinates with revenue generating departments to improveefficiency of posting charges, evaluating trends, recommend and implementprocess improvements.  Will educate onaudit findings and requirement to ensure that billing is compliant.  Facilitates recommendations to improveprocedures, strengthen controls, enhance revenue and improvereimbursement.  Submits appeals inattempt to overturn denials from payers.


Performs otherwork in the department as needed.


Requiresexperience with Windows, Excel and Word. 




Job Requirements

  • One year of CDM experience required
  • Certified Professional Coder (CPC) required
  • 2 Years in Medical/Clinical Office Setting
  • Bachelors' Degree Preferred
  • 3 Years CDM preferred
  • Registered Health Information Technicial certification preferred
  • Certified Coding Specialist (CCS) preferred


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
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Revenue Integrity Analyst Apply now