The team are responsible for department charge audits/analysis, ability to investigate and resolve charging and coding issues, as well as staying abreast of all changes related to billing/coding compliance. The Revenue Integrity analyst will be able to conduct defense audits within the organization to ensure compliant charging and billing processes. We are seeking driven, qualified individuals who can put their skills and knowledge to work, positively impacting our revenue cycle.
Job summary: Responsible for reviewing and ensuring proper reimbursement and revenue capture of assigned product line(s). Coordinates processes between clinical operations and revenue cycle departments ensuring that the accounts audited reflect proper documentation, charge capture, coding, billing and payment. Candidate will be able to assist with facilities implementation of changes in regulations.
(4) year college graduate or (2) year degree or equivalent, coding or audit certification preferred or candidate must have in place of a college degree 7+ years of hospital or clinic revenue cycle experience with a certification such as CPC or CPMA
5-7 years in hospital setting, clinic setting, or insurance company managing revenue/reimbursement functions will ensure a successful candidate
Ability to research CMS and federal register sites without difficulty
PC knowledge for daily use (MS Office)
The successful candidate will possess:
Working knowledge of Medicare/Medicaid and Managed Care reimbursement
Working knowledge of Hospital IP/OP coding and/or Physician coding
Hunger for proper revenue/reimbursement capture
Exceptional communication and facilitation skills required
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.