Summary
Position Summary
This position contributes and supports Revenue Integrity’s Mission towards developing a multidisciplinary earnings stability group to reinforce the user interface in between medical departments and charge enhancement procedure. It is a holistic technique that guides the Maine Health company towards accomplishing functional performance, total regulative compliance, and overall repayment.
Under the instructions of the Director of Revenue Integrity, the Revenue Integrity Analyst II plays an essential function in a prominent group entrusted with enhancing profits outcomes by taking an international view of medical and monetary procedures, functions and interdependencies from the arrangement of client care to last expense generation.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: Bachelor’s degree from an acknowledged college or university in service, health care or a carefully associated field and 3 (3) to 5 (5) years’ of experience within the profits cycle. Experience above minimum requirement will be thought about in lieu of education.
License/Certifications: Applicable expert accreditation through AHIMA (RHIA, RHIT, CCS) or AAPC (COC, CPC) or Pharmacy Technician (CPhT, PTCB).
Experience: Three (3) to 5 (5) years’ experience in the health center setting, health care market or coding with a focus in several of the following locations: charge stability, charge reconciliation, charge compliance, picked forensic charge evaluations, CDM management. LEGENDARY HB/PB experience chosen.
Proficiencies: Advanced understanding of profits cycle procedures and hospital/medical billing to consist of CDM, UB, RAs and1500 Advanced understanding of code information sets to consist of CPT, HCPCS, and ICD10 Advanced understanding of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding of compensation theories to consist of DRG, OPPS, HCC and handled care. Capability to examine, examine and analyze handled care agreements, billing standards, and state and federal policies.
Abilities: Due to its service focus, this position needs strong social and interaction abilities, strong analytic and organizational abilities, important -believing and the capability to satisfy due dates while affecting, however not straight handling the work of others. Computer system abilities; MS Office consisting of Word, PowerPoint, Excel and Outlook; Windows running system and Internet.
Additional Information MaineHealth is a health system whose members and affiliates consist of healthcare facilities, doctor practices, long-lasting care centers, house care companies, and assistance services. Find out more about this system at www.mainehealth.org
MaineHealth is a not-for-profit integrated health system including twelve regional medical facility systems, a detailed behavioral health care network, diagnostic services, house health companies, and over 22,000 staff members. It is the biggest health system in northern New England and supplies preventive care, medical diagnosis and treatment to 1.1 million citizens in Maine and New Hampshire.
We use advantages that support a person’s requirements for today and versatility to prepare for tomorrow. Our plan consists of health and oral insurance coverages, paid adult leave (readily available at a lot of places), retirement program, generous paid time off, and far more! Our thorough selection of advantages are competitive, budget-friendly, and consist of options that fulfill particular, however ever altering, requires.
With a profession at any of the MaineHealth areas, you’ll be dealing with health care specialists that genuinely value individuals around them – both within the walls of the company and the communities that surround it. We are deeply bought the wellness of our neighborhoods and workers. Our company believe in promoting a workplace of strong dedication, thoughtful caring and constant enhancement. Our care – and the science behind that care – is leading rate. Join us and your capabilities will be challenged and boosted as you take your profession to another level.
MaineHealth.
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