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Virtual Revenue Integrity Analyst RN in Nashville at Parallon

Date Posted: 4/29/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.
 
We are looking for a dynamic candidate to be part of our team.  We offer excellent benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off!
 
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Analyze and resolve specific billing edits that require an RNs clinical expertise and that are delaying claims form processing. 
  • Identify charging, coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues.
  • Preform charge audit reviews by verifying billing data as compared to documentation and making corrections in patient accounting as needed.
  • Analyze charge review findings, provide recommendations to facility ancillary department directors in order to improve documentation, charging flow and accuracy. 
  • Serve as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, revenue codes and communicating with Ancillary departments to resolve issues. 

We are in need of an RI Analyst RN who will be responsible for determining the appropriateness of patient charges and assigned HCPCS/CPTs, by reviewing the medical record, facility protocol and other applicable documentation. We offer many opportunities for career growth. You need the following to be our top candidate:
  • RN or other advanced nursing degree required
  • Active registered nurse license or other advanced nursing license required
  • Healthcare experience in an acute care hospital or coding experience preferred. Knowledge of CPT/HCPSC codes or experience in charging or preforming charge reviews