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SouthEast Alaska Regional Health Consortium (SEARHC) · 1 day ago

Senior Revenue Integrity Analyst

Renton, WA

Full-time

Onsite

Senior Level

$36.46/hr - $51.29/hr

5+ years exp

SouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit health consortium serving the health interests of Southeast Alaska residents. They are seeking a Senior Revenue Integrity Analyst responsible for improving the quality of the revenue cycle through user education, coding workflow optimization, and EHR contributions as a coding expert.

Health CareNon Profit

Responsibilities

Analyzes available data to support the Revenue Cycle Integrity team initiatives in defining and identification of end-user deviations and other inconsistencies

Acts as subject matter expert for CPT/HCPCS coding and documentation requirements

Obtains and compares data from multiple sources and reviews for discrepancies using various applications

Performs quality assurance and validation tasks

Provides education to patient revenue generating departments/providers to ensure compliant charging and coding practices

Develops training and informational documents for clinical and administrative staff in coordination with Informatics teams

Provides 1:1 provider education as requested

Assists in the design and maintenance of Coding modules and workflows

Collaborate with HIM Management in EHR coding and coding support workflows

Provide SEARHC Providers guidelines ensuring compliant clinic documentation

Provider reviews in documentation and charge requirements to ensure reimbursement for services

Create and updating provider job aids supporting clinical services

Collaborate with the CI EHR Training Team on-boarding new providers

Coding/denials encounter reviews

Maintain existing job aids and workflows for HIM coding & coding support processes

Resolve/assign coding/coding support helpdesk ticket

Other duties as assigned

Qualification

CPT/HCPCS codingRevenue Cycle knowledgeHospital billing experienceAAHAM CRCS certificationAAHAM CRIP certificationData analysisMicrosoft Office proficiencyMultitasking abilityCritical thinkingProblem solving

Required

Bachelor's degree or an equivalent combination of education and/or work in Revenue Cycle/HIM/Coding – required

Five years minimum in hospital or physician billing office

Experience in completing hospital charging practices and the revenue cycle flow in hospital financial systems

Knowledge of Revenue Cycle, Clinical Documentation, support applications, and user workflows implicated in Coding and HIM functions

Knowledge of Interface methods, dataflow within the Relational Database Model

Knowledge of Billing and coding practices for IHS, CAH, FQHC, Provider and ancillary services

Knowledge of CPT, HCPCS, revenue code, ICD-10CM

Knowledge of Payer and NCCI edits, rejections, rules, and how to appropriately respond to each

Knowledge of specific system and payer requirements required for billing

Skills in Critical thinking (problem solving, troubleshooting)

Skills in Developing new methods to define and identify statistical outliers

Ability to work on different projects simultaneously, work in fast paced setting and multitask in a fast-paced environment and appropriate handle overlapping commitments and deadlines

Highly proficient in relevant computer applications including Microsoft Office programs, including Word, Excel

Manipulating large datasets (500,000+)

Cerner and other electronic records applications