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Revenue Integrity Analyst

White Plains, NY 10601

Department: Finance Job Number: 6252 Pay Rate: $70000-103000 Employment Type: Full Time

Job Description

Our client, a leading community hospital that has been widely recognized for their exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in their community, is hiring a Revenue Integrity Analyst. They offer tremendous growth opportunities, great benefits, and flexible work schedules, which is why they are consistently recognized as a Great Place To Work.
The Revenue Integrity Analyst works with the management team of Revenue Cycle operations to drive business value by supporting revenue cycle management in the analysis of Revenue Cycle data as well as proactive identification of process improvement, charge master compliance and accuracy as well as charge capture opportunities and applying analytical and critical thinking to generate innovative and practical solutions to revenue cycle issues.
Responsibilities:
  • Ensures the delivery of quality department /clinical services in accordance with established hospital and regulatory/accreditation agency standards.
  • Employee compliance with hospital and Human Resources policies and procedures as well government regulations and guidelines.
  • Participates in the Performance Improvement Program as defined by the organization.
  • Take part in committees, task forces and projects as appropriate.
  • Provision of a safe employee/patient environment.
  • Works collaboratively with all levels of the hospital interdisciplinary team and promotes the team concept within their department and hospital wide.
  • Research and roll-out of federal and state updates pertaining to hospital and billing compliance
  • Works to protect revenue based upon regulatory compliance requirements.
  • Analysis of audit findings to report to senior management findings and recommendations to prevent future loss as well as protect current revenue.
  • Disseminate government updates to healthcare providers, ensuring necessary changes are made to processes, charge master, and/or billing process as required within the time frame for accurate and compliant billing.
  • Hospital enrollment and revalidation of government agencies.
  • Handles billing office reporting to government agencies as required.
  • Manage audits both external and internal as it pertains to the billing office.
  • Communicating findings and overseeing corrective actions for audits within the operational units.
  • Upkeep of the charge master and ensuring the compliance and integrity of the charges and billing.
  • Performs charge master integrity audits as well as charge audits to ensure all revenue is captured appropriately at the account level and in the billing system.
  • Ensure proper billing protocols and guidelines are followed.
  • Works in conjunction with members of the management team and departments to respond to audits as well ensure compliance with state and federal regulations.
  • Interacts with hospital ancillary revenue departments, patient registration, and case management to ensure compliant practices and streamline revenue.
  • Designs, implements and maintains procedure manuals for all areas of responsibility.
  • Schedule: 8-4 Monday to Friday - hybrid
     
Requirements:
  • Graduate of an accredited College or University with a B.S. preferred
  • 6+ years in Patient Accounting required, preferable in a hospital setting.
  • Knowledge of hospital billing and reimbursement of insurance as well as third-party billing.
  • Ability to use basic office equipment and knowledge of CTR computer , Word and Excel a plus.
  • Ability to establish two-way communication by clearly defining expectations, communicating utilizing a variety of methods, actively listening to ideas and concerns and responding appropriately.
  • Ability to delegate responsibilities appropriately.
  • Ability to retain composure under stress.

Salary: The posted salary range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. 
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Meet Your Recruiter

Nancy Bookchin
Director, Healthcare Recruitment

Nancy is a dedicated recruiter who prioritizes the success of her clients and the career aspirations of her candidates.
Learn more about Nancy, Tal Healthcare Employee Biography

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