Revenue Integrity Registered Nurse in Irving, TX at Parallon

Date Posted: 5/22/2018

Job Snapshot

Job Description

This position works from home.

Do you have a passion for healthcare and helping others? Do you enjoy working with numbers in a fast-paced environment? Jump-start your career in our Revenue Integrity department and apply today to be a Revenue Integrity Analyst.

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 would process determine the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation.  In this role, you will also serve as a liaison between facility Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities

 

Duties include, but are not limited to:

  • Analyze and resolve specific billing edits that require clinical expertise and that are delaying claims from processing in the Patient Accounting and/or SSI 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, coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues.
  • Perform charge audits by verifying billing data as compared to documentation and making corrections in Patient Accounting as needed. By analyzing audit findings, recommendations are made to facility ancillary department directors in order to improve documentation, charging flow, and accuracy.
  • Serve as a liaison between the SSC Charge Master department and the facility ancillary department directors



 

 

 

 

Job Requirements

Knowledge, Skills & Abilities 

  • Communication – communicates clearly and concisely, verbally and in writing.
  • 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 PC applications as required
  • Policies and Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems
  • Basic Skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

Education 

  • Associate’s or Undergraduate degree required

Experience 

  • Prior healthcare experience required
  • Prior clinical experience preferred

Certificates/License - RN Licensure required

 

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