Job Description
Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991 Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/7:00:00 AM to 3:30:00 PM
Minimum to Midpoint Pay Rate: $22.78 - $29.62 / hour
Summary The Revenue Integrity Analyst will be responsible for supporting management in maintaining, improving, processing, and evaluating the billing and collection of facility government receivables. Position will include resolving AHCA reporting errors, Lab charge reviews, Medicare monthly reporting, conducting Medicare inpatient pre-billing reviews and government payer post billing reviews for accuracy. Is the point person between departments and external entities for audits to ensure clear communication, collaboration and timely resolution of audits. Maintains the PECOS claims data. Will facilitate improvements in system policies and procedures to ensure compliance requirements, including Federal and state guidelines and requirements of participation, are met.
Critical to this position is a highly developed knowledge of the hospital revenue cycle including registration, charge capture, coding, billing, collection, utilization management and account balance resolution.
The Revenue Integrity Analyst must demonstrate an advanced level of proficiency in billing and compliance across all government payers and will make claim-related decisions to facilitate resolution of complex claim issues. The Revenue Integrity Analyst must also demonstrate strong organizational, communication, time management and analytical skills. Must have a working knowledge of government audit guidelines to provide guidance on day to day processes to ensure compliance is maintained when changes are required by payers. The ability to manage multiple priorities and problem solve effectively is essential.
AAHAM Certified Compliance Technician required, must be obtained within one year of accepting position. High School Diploma or Equivalent required. Ability to type 20 wpm and working knowledge with Microsoft Office products including Excel, Outlook and One note. Experience with DDE, Epic, SSI Billing System, and Document Imaging are a plus.
Requirements Educational Requirements
Degree/Diploma Obtained Program of Study Required/ Additional Requirements Preferred
and/or High School Diploma or EquivalentRequired
Prefer Bachelor Degree or higher formal education, 2 years formal education post high school in clinical, financial, or coding program.
Experience Requirements Minimum Years Required Area of Experience Required/
Preferred and/or 3 YearsHealthcareRequired Additional Requirements
3 experience in healthcare-related field, in hospital billing, coding and/or charging/reimbursement-related capacity. Additional clinical experience in related field a plus.
State of Florida Licensure Requirements
Licenses Required/
Preferred and/or Not Required Certifications/Registration Requirements
Certificates/Registrations Required/
Preferred and/or Additional Requirements
Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG
US:FL:Cape Coral
Location: Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/7:00:00 AM to 3:30:00 PM
Minimum to Midpoint Pay Rate: $22.78 - $29.62 / hour
Additional Requirements Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG
US:FL:Cape Coral
Job Tags
Full time, Shift work,