Change Analyst, Revenue Integrity

Job not on LinkedIn

🔥 15 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

📚 Learning and Development

🚫👨‍🎓 No degree required

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This company has sponsored H1B visas in the past.

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Research, collect and analyze information to identify opportunities, develop solutions and lead through resolution • Collaborate on performance improvement activities related to program efficiency and patient experience • Distribute analytical reports • Use multiple system applications to perform analysis, create reports and develop educational materials • Research and compile information for ad-hoc operational projects and initiatives • Synthesize and analyze data, providing detailed summaries with graphical presentations of trends and practical recommendations • Leverage program and operational data to define and demonstrate progress, ROI and impacts • Ensure accurate CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on accurate documentation and coding • Maintain charge capture process documentation and review process adherence for missing charges • Coordinate with stakeholders on system change requests and process upgrades • Provide oversight of charge reconciliation processes, including daily and monthly reconciliations • Guide clinical departments with reconciliation processes, supply charge capture, duplicate charge identification and resolution of documentation or charge errors • Perform charge entry/capture, charge approvals and quality charge reviews, including appending modifiers and checking clinical documentation • Review and respond to quality reports identifying missing, duplicate and late charges • Maintain reference logs and reporting tools; create and present decision-support information • Support denial-related charge reviews through clinical documentation analysis, root cause analysis and education

🎯 Requirements

• High school diploma or GED • Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment • Experience in revenue cycle, billing, coding and/or patient financial services • Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations • Experience with hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors • Knowledge of billing and regulatory guidelines related to charging and other revenue cycle processes • Ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines • Working knowledge of applicable federal, state and local laws/regulations, Trinity Health Integrity & Compliance Program and Code of Conduct • RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred • CHC (Healthcare Compliance Certification) preferred • CHRI certification/membership strongly preferred

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