Senior Revenue Integrity Analyst

🕒 2 days ago

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Logo of Northeast Georgia Health System

Northeast Georgia Health System

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Northeast Georgia Health System is a healthcare organization dedicated to improving the health of the community it serves. With a presence that includes 5 hospitals, 6 urgent care locations, and more than 110 doctor's offices, imaging centers, cancer treatment centers, and laboratories, the system offers a comprehensive range of medical services. It provides career opportunities in various areas, including nursing, allied health, and support services, as well as residencies and fellowships for healthcare professionals. The organization is committed to its mission through adherence to core values, offering employee benefits, and engaging in community activities. With locations providing access to both metropolitan and natural amenities, it emphasizes quality of life for employees and residents in Northeast Georgia.

📋 Description

• Provide subject matter expertise in charge capture, CDM application, compliance, and reimbursement • Lead audits and support governance initiatives • Drive revenue optimization across departments • Ensure alignment with CMS and payer requirements • Conduct pre/post bill audits to validate charge mappings • Analyze trends and root causes impacting reimbursement • Develop reports and dashboards with data-driven recommendations

🎯 Requirements

• Bachelors Degree • 5+ years hospital revenue cycle, charge capture, or CDM experience • Advanced knowledge of CPT/HCPCS and reimbursement • Expertise in CDM structure and clinical application • Strong auditing and compliance background • Ability to analyze financial impact of charge issues • Experience with workflow redesign and optimization • Advanced Excel and data analysis skills • Ability to lead training and education initiatives

🏖️ Benefits

• Opportunities for professional development and growth • Work-life balance support • Collaborative work environment

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