Job Listing
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| Job ID: 14053364 |
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| Job Location: |
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| How to Apply: | To see employer contact information, log in or register. |
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| Job Title: | Revenue Integrity Coding Analyst - Revo Health |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
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| Salary Offered: | Unspecified |
| Benefits: | Unspecified. |
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| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | High School Diploma/GED |
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| Experience Required: | Unspecified |
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| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
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| Job Description: |
Description
Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner.
This is a full-time position working M-F from 8:00 am - 5:00 pm and is based out of our Revo Health Corporate Office in Bloomington.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.
Essential functions:
Monitor and manage edits software to optimize clean claims rate and minimize denials.
Manage coding denial queues.
Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable.
Perform analysis of denied claims to identify trends impacting revenue
Assist PFS Specialists in submitting appeal and successful
Effectively communicate claim trends to aid in finalizing outstanding
Investigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts toward
Research changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership.
Act as subject matter expert for i-Health practice claim denials.
Any and all other duties as assigned
Education and Experience Requirements:
High School diploma/GED or equivalent
Minimum of 5 years' experience in billing operations preferred
Minimum of 5 years' experience in coding preferred
Minimum of 2 years' experience in RCx Rules or other edits software
CPC preferred
Essential Requirements:
Ability to:
Comply with company policies, procedures, practices and business ethics
Complete job required
Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, )
Maintain prompt and reliable attendance
Work in the clinic, office or surgery center during business hours
Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required
Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
Converse in a respectful and professional manner
Prioritize workload while being flexible to meet the expectations of the daily operations
Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
Understand and execute a variety of instructions
Effectively operate equipment and communicate on and operate the phone system
Work independently with minimal supervision
Travel to other work locations, if required
Performance Expectations - Revo's Core Values:
Integrity - Do the right thing and take responsibility for what you do and say
Service - Consistently contribute to deliver an exceptional experience
Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
Teamwork - Be a part of the whole; support each other positively
Environmental Conditions:
Normal clinic/office setting
Notes:
Revo is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
The knowledge, skills, abilities & traits (KSATs) listed on this job description are typically acquired through the levels of education and experience listed. However, any equivalent combination of education and/or experience, which provide an applicant with the listed KSATs to perform the essential functions and requirements of the job is acceptable.
This job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential job functions are subject to modification.
Infinite Health Collaborative (i-Health) is an Equal Employment/Affirmative Action employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
Refer to ID 79240549 when applying |
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