Revenue Integrity Analyst Remote in Arizona

Revenue Integrity AnalystRemote - Banner Health - Arizona - work from home jobCompany: Banner HealthJob description: Primary City/State: Arizona, ArizonaDepartment Name: Ambulatory Revenue IntegrityWork Shift: DayJob Category: Revenue CycleSchedule: Monday - Friday with flexible start times after trainingA rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.This position is a vital role within the Revenue Integrity Department. The goal of the revenue integrity department is to ensure accurate and timely billing across all Banner facilities. Our team culture promotes a strong support system within the team. We support career growth for all members. This team consists of two Co-Supervisors who work together to support the team and we provide a "manage up" style and are always willing to help the team any time we can. The Ambulatory Revenue Integrity Department is a growing department that works with other revenue cycle teams/partners.We have the ability to make a positive impact on the organization. We are a very cohesive team that enjoy working together in a remote environment. The results of our work impact multiple different departments. We provide creative freedom with opportunities to improve and help streamline processes. Leadership provides a participative, transparent, collaborative management style and culture that allows the team members and leadership to work effectively and efficiently together. Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care.The Intermediate Revenue Integrity Analyst will investigate missing professional charges. They will also identify any root causes of errors. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.POSITION SUMMARYThis position is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection. This position is responsible to discover revenue issue root cause and to develop correction action plan and provide charge capture education. In addition, recommend modifications to established practices and procedures or system functionality as needed to support revenue cycle and manage implementation of the recommended changes.The Revenue Integrity Analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goals. CORE FUNCTIONS1. Reviews facility daily gross revenue reports for variances. Collaborates with department directors/managers to review variances. Escalates variances related to charge capture and collaborates with Revenue Cycle team for process improvements as indicated. 2. Provides concurrent and retrospective charge reviews across Banner facilities comparing clinical documentation to billed charges as directed by Revenue Integrity Manager, Compliance and facility requests.Identify charge capture opportunities, proactively identifying revenue opportunity and suggests improvements. 3. Monitor/Resolve nThrive charge capture work queues to identify opportunities for improvement in charge capture, clinical documentation and system enhancements to improve charge capture. Maintains a current knowledge of coding and documentation requirements as required for compliant billing. 4. Collaborates with Revenue IntegritySenior Manager to develop and generate standardized reporting templates for revenue integrity KPI dashboard and daily/weekly analytics.5. Analyzes and quantifies all charge capture review results for reporting to departments, CFO and Revenue Integrity Continuous Improvement Forums. 6. Provides guidance and education to departments as a subject matter expert on compliant charge capture and charge reconciliation. 7. Provides education to departments on how to work charge rejection log to ensure all charge are captured to avoid missed revenue and reduce late charges. 8. Coordinate department requested CDM charge additions and deletions as applicable.Partners with Coding, Cerner Clinical Informatics and Revenue Cycle teams to support performance improvement opportunities. 9. Works independently and in collaboration with Revenue Cycle Team under the direction of the Revenue IntegritySenior Manager. Researches complex charging/billing issues and provides education and recommends process improvements to ensure compliant charge capture and reimbursement. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels.Work output has a significant impact on system business goal attainment. Customers include facility ancillary departments, physicians, nurses, third party payors, central billing staff, and patients/patient families. MINIMUM QUALIFICATIONSMust possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an Associate’s degree Applied Health Sciences, Finance or health related field. Requires a level of knowledge normally gained over 2-3 years of related work in the same type of clinical, medical office or acute care unit.Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good understanding of reimbursement methodologies. Requires strong abilities in researching, reading, interpreting and communicating financial data as related to charge capture, effective interpersonal skills, organizational skills and collaborative team working skills. Must be able to work effectively with Microsoft office software, coding and billing software, Cerner, NextGen and MS4.PREFERRED QUALIFICATIONSPreferred licensure includes coding credentials (e.g. CCA, CCEP, CCS, CCS-P, COC, CHC, CHFP, CPC, CRCM, RHIT, etc.). Additional related education and/or experience preferred. Our organization supports a drug-free work environment. Expected salary:Location: ArizonaJob date: Thu, 14 Sep 2023 07:41:27 GMTApply for the job now! Apply tot his job