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Sr Revenue Integrity Analyst - Ft - Days - Revenue Integrity

Company: El Camino Health
Location: Lynwood
Posted on: November 16, 2022

Job Description:

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.FTE1Scheduled Bi-Weekly Hours80Work ShiftDay: 8 hoursJob DescriptionParticipates with the Director, Revenue Integrity in decision-making and with setting the strategy, priorities, and project work for Revenue Integrity Department. Conducts high level decision support/analysis for various projects related to hospital pricing, charge capture, departmental revenue & usage, Medicare billingguidelines, and other projects as assigned. Accountable for developing recommendations and deliverables to be used by Revenue Cycle Management and Senior Leadership for key decisions significantly impacting Hospital and Physician revenue. Participates in professional billing pricing strategy and maintains related fee schedules (chargemaster) for all clinics affiliated with El Camino Health and for which El Camino Health manages billing operations. Provides clinical/ancillary departments with guidance on proper use of charges in the CDM. Assists the CDM Coordinator with maintenance of the hospital's chargemaster. Assists managers to ensure compliance with billing and chargemaster regulations. This position provides specialized technical knowledge, expert level analytical skills, and support to Revenue Cycle Management, Senior Leadership, and staff in order to successfully meet goals related to the revenue cycle and charge compliance.QualificationsBachelor's Degree in Business or Healthcare-related field preferred.Minimum five years of Medicare billing experience in an acute hospital.Minimum five years of experience as an analyst in hospital Revenue Integrity.Minimum two years of experience with physician/professional fee billing and/or revenue integrity.Advanced level in the use of Microsoft Excel, Access, and Word applications.Completion of at least one course in hospital outpatient coding.Completion of Epic training courses and certification in at least one of the following areas:Resolute Hospital Billing, Physician Billing, Charge Description Master/Charge Router, or Revenue Integrity.Strong data processing / analysis and critical thinking skills.Demonstrates conceptual understanding of systems (logic, tables, rules, and relationships). Highly collaborative and able to work cohesively in a dynamic team environment.Strong understanding of hospital's comprehensive revenue cycle.Strong communication and interpersonal skills; able to work well with all levels in the organization, including Senior Leadership.The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.Sedentary Work Duties performed mostly while sitting; walking and standing attimes. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. (Physical Requirements-United States of America)An Equal Opportunity Employer:El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

Keywords: El Camino Health, Lynwood , Sr Revenue Integrity Analyst - Ft - Days - Revenue Integrity, Professions , Lynwood, California

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