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Revenue Integrity Analyst Senior

Job Description - Revenue Integrity Analyst Senior

Description

Cottage Health seeks a Revenue Integrity Analyst Senior for their CH Revenue Integrity department responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits. 



Qualifications

QUALIFICATIONS:

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

Education:

  • Minimum: Bachelor’s degree or equivalent work experience or two years of work experience per one year of required education.

Certifications, Licenses, Registrations:

  • Minimum: Coding certification (CCS, CCS-P, CPC, COC)
  • Preferred: Registered Nurse. RHIA, Epic Certification in Resolute Charge Capture and/or Clarity Report Data. American Association of Healthcare Administrative Management (AAHAM) - Certified Revenue Integrity Professional (CRIP).

Technical Requirements:

  • Minimum: Knowledge of MS Excel. Knowledge of billing requirements related to charges and associated claim forms. Knowledge of cost accounting concepts, principles, and computer applications.
  • Preferred: Experience with electronic medical records and clinical application software.

Years of Related Work Experience:

  • Minimum: 5 years Hospital/Health Care Coding experience.
  • Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience.


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