Revenue Integrity Analyst II

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🕒 2 dias atrás

⛷️ Utah – Remoto

⛷️ Utah – Remote

💵 $37 - $59 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

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IMH

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2007

🤝 B2B

🏪 Marketplace

👥 B2C

B2B • Marketplace • B2C

A IMH é a entidade do Groupe IMA que fornece assistência completa para habitação e serviços pós-sinistro em toda a França. Opera atendimento de chamadas de emergência 24/7 e intervenções de resposta rápida para incidentes domésticos (incêndios, danos causados por água, falhas elétricas, serviços de serralheria), oferece perícia de danos remota e estimativa de custos, e gerencia reparos através de uma rede nacional de empreiteiros credenciados. A IMH também opera plataformas digitais para apoiar a estimativa de projetos e ofertas de serviços domésticos pagos, coordena respostas a catástrofes em grande escala e conecta seguradoras, beneficiários e prestadores de serviços através de sua rede de prestadores credenciados.

Descrição

• This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. • Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team. • Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from various sources. • Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels. • Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams performance. • Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. • Audits and evaluates system automation by comparing the charge/claim data to the clinical record. • Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. • Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring. • Mentors and supports the training of other revenue integrity analysts.

🎯 Requisitos

• Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. • Experience in a role requiring attention to detail with excellent organizational and analytical skills. • Demonstrated proficiency with Epic clinical and/or billing applications. • Demonstrates ability to be flexible and adaptable to change. • Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes. • Experience working closely with a multi-disciplinary team to optimize patient experience and operational success. • Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. • Bachelor's degree in healthcare administration, or medical, analytical field from an accredited institution (preferred).

🏖️ Benefícios

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.