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Revenue Integrity Analyst Credentialed

Company: HCA, Hospital Corporation of America
Location: Largo
Posted on: November 26, 2019

Job Description:

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 HealthcareWe offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. 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 ourRevenue Integrityteam. Join us in our efforts to better our community!As a Revenue Integrity Analyst, you are responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer.What you will do in this role: * Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate. * Identify charging, chargemaster coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues that are identified while working on edits. * Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary * Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Revenue Integrity procedures and implement changes as needed. * Maintain billing education, attend webcasts and conference calls as required. * Revenue Integrity employees are required to work rotating weekends.Qualifications:EDUCATION * High school diploma or GED required. * RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential; other healthcare related credential such as (but not limited to) LPN, LVN or RTEXPERIENCEHealthcare experience in an acute care hospitalor coding experience preferred. Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews.**CERTIFICATE/LICENSEActive certification or licensure as a RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential; other healthcare related credential such as (but not limited to) LPN, LVN or RT.Parallon is anindustry leaderin revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named aWorlds Most Ethical Companyby Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients 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 opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.Job: *Case Management Title: Revenue Integrity Analyst Credentialed Location: Florida-Largo-Tampa RI Requisition ID: 25467-169649

Keywords: HCA, Hospital Corporation of America, Largo , Revenue Integrity Analyst Credentialed, Professions , Largo, Florida

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