Revenue Integrity Analyst for RI in Dallas / Irving, TX
Some responsibilities include:
Revenue Integrity Analyst – Work From Home(Job Number: 25468-126065)
Work Location: United States-Texas-Irving-RI – Dallas
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.
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
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