• Revenue Integrity Analyst

    Catholic Health (Buffalo, NY)


    Salary: 67,606.50-101,419.50 USD

     

    Facility: Administrative Regional Training Cntr

     

    Shift: Shift 1

     

    Status: Full Time FTE: 1.000000

     

    Bargaining Unit: ACE Associates

     

    Exempt from Overtime: Exempt: Yes

     

    Work Schedule: Days

     

    Hours: 7:00am to 3:00pm/8:00am to 4:00pm

    Summary:

    Under the direction of the Director, Revenue Integrity, the Revenue Integrity Analyst will assist in the support of the revenue cycle including the maintenance of the charge description masters (CDMs) across Catholic Health. Responsibilities will include: 1) Updating and revising the CDM to ensure all federal, state and local payer requirements are incorporated into it 2) Communicating with and educating the clinical areas as it relates to the revenue cycle, the CDM, the charge capture process and charge reconciliation 3) Assist in the implementation of revenue cycle operational improvements in response to problems and denials 4) Work closely with the Manager, Revenue Integrity to monitor, audit and measure the effectiveness of the revenue cycle process and 5) Assist in the analysis and operational set-up associated with new technology, CPT-4 codes and clinical trials.

    Responsibilities:

    EDUCATION

    + Associates Degree in finance or healthcare related field required

    + Bachelor's degree preferred

    + Finance, patient accounting or HIM background strongly preferred

    EXPERIENCE

    + Minimum of five (5) years of experience in coding, billing and/or reimbursement associated with all aspects of the revenue cycle

    + Proven experience with process analysis and improvement

    KNOWLEDGE, SKILL AND ABILITY

    + Proficiency in Microsoft Excel and other Microsoft Office applications

    + Strong written and verbal communication skills required

    + Strong background in coding, third party reimbursement, spreadsheet analysis, computer usage and system development

    + Strong revenue cycle knowledge base

    + Basic understanding of clinical concepts and services

    + Ability to multi task in a demanding environment

    WORKING CONDITIONS:

    + Office Environment

    + Some local travel is required

    REQNUMBER: 39243