Credentialed Revenue Integrity Analyst in Irving, TX at Parallon

Date Posted: 7/9/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Irving, TX
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    7/9/2018

Job Description

This is a remote position. 




Do you have an analytical as well as investigative mindset? Do you want to pair that with your knowledge of the healthcare field? Parallon is looking for credentialed coder that is interested in working in revenue cycle operations without performing ICD-10 or CPT/HCPS coding functions. 

 

Parallon's Mission: 
We serve and enable those who care for and improve human life in their communities. 

Parallon, a division of HCA, is an industry-leading provider of patient financial and revenue cycle services to acute care providers across the United States. We are dedicated to our values and passionate about finding future leaders for our fast-growing divisions in the Dallas/Fort Worth area.  Although we are the largest healthcare provider in the world and experts and leaders in revenue cycle services, we maintain a people-first culture and sense of community. 

 

As a Revenue Integrity Analyst you will be responsible for is 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. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances.

 

Duties include, but are not limited to:

  • 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.

Job Requirements

Knowledge, Skills & Abilities

  • Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - able to work effectively with other employees, patients and external parties
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
  • Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

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 RT

Experience

  • Healthcare experience in an acute care hospital or coding experience preferred. Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews.

Certificates/License

  • Active 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

At Parallon, every employee is a valued member of our organization. You can expect to receive competitive salary, ongoing professional development, comprehensive benefits package, performance bonuses and more!

 

Check us out or follow us on LinkedIn at https://www.linkedin.com/company/parallon-business-solutions

 

#ParallonBCOM