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Revenue Integrity Analyst Credentialed

Company: Parallon
Location: Largo
Posted on: November 11, 2019

Job Description:

Description SHIFT: Work From Home

SCHEDULE: Full-time

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career today with HCA Healthcare --We offer you anexcellent total compensation package, including competitive salary, excellentbenefit package and growth opportunities. Your benefits include 401k, PTOmedical, dental, flex spending, life, disability, tuition reimbursement,employee discount program, employee stock purchase program and student loanrepayment. We would love to talk to you about this fantastic opportunity.------------------------------------------------------------------------------------------------ You contribute to our success. Every role has an impact on our patients--- lives and you have the opportunity to make a difference. We are looking for dedicated professionals like you to be a part of our Revenue Integrity team. Join us in our efforts to better our community! --As a Revenue Integrity Analyst, you are responsible fordetermining the appropriateness of patient charges, and Charge DescriptionMaster (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facilityprotocol, and other applicable documentation. This review includes theverification of billing data for accuracy and completeness, followingregulatory requirements, in order to resolve edits or exceptions detectedduring system processing of the claim in Patient Accounting, Relay Health orthe payer.--What you will do in this role:

  • Analyze and resolve specific billing edits thatrequire HCPCS/CPT coding based on the chargemaster expertise and that aredelaying claims from processing in the Patient Accounting and/or Relay Healthsystems. This includes the verification (and/or correction) of billing data foraccuracy and completeness, by following regulatory requirements, and reviewingthe medical record, facility protocol, and other applicable documentation. Thisalso includes the application of modifiers and condition codes, as appropriate.
  • Identify charging, chargemaster coding, orclinical documentation issues and work with appropriate leadership andancillary departments to resolve issues that are identified while working onedits.
  • Serve as charge master liaison to facilitateclinical department education on appropriate charging of CPT codes, RevenueCodes, and communicating with Ancillary Departments to resolve issues.Coordinates updates (activate, inactivate, modification) with AncillaryDepartments as necessary
  • Review Regulatory and ComplianceCommunications, applicable CMS transmittals, and Local Coverage Decisions(LCD). Assess impact to Revenue Integrity procedures and implement changes asneeded.
  • Maintain billingeducation, attend webcasts and conference calls as required.
  • Revenue Integrity employees are required to work rotating weekends.Qualifications Qualifications: EDUCATION
    • High school diploma or GED required.
    • RHIT, CCS, CCP,CPC or other recognized AHIMAcertified coding credential; other healthcare related credential such as (butnot limited to) LPN, LVN or RT EXPERIENCE Healthcare experience in an acute care hospital or codingexperience preferred. Knowledge of CPT/HCPCS codes or experience in charging orperforming charging validation reviews.
      CERTIFICATE/LICENSE Active certification or licensure as a RHIT, CCS, CCP,CPCor other recognized AHIMA certified coding credential; other healthcare relatedcredential such as (but not limited to) LPN, LVN or RT.
      Parallon is an industry leader in revenue cycleservices. We partner with over 650 hospitals and 2,400 physician practicesnation-wide. Our parent company, HCA Healthcare has been consistently named a World---s Most Ethical Company byEthisphere and is ranked in the Fortune 100. We are dedicated to ensuring ourpatients have the best experience even after they leave our facilities.
      Be a part of an organization that invests in you. We are actively reviewing applications. Highly qualified candidates will be promptly contacted for interviews. Submit your application and help us raise the bar in patient care! --We are an equal opportunityemployer and value diversity at our company. We do not discriminate on thebasis of race, religion, color, national origin, gender, sexual orientation,age, marital status, veteran status, or disability status.--Notice Our Company---s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, contact us at--privacy@hcahealthcare.com

      Company Description:

      HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Largo , Revenue Integrity Analyst Credentialed, Professions , Largo, Florida

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