Revenue Integrity Analyst
Revenue Integrity Analyst
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$ 65520 - 114400
1 Vacancy
Job Description
In this pivotal role you will have the opportunity to make a meaningful impact by championing the integrity of charging processes - ensuring every step aligns and is in compliance with federal state and payor requirements regarding billing for healthcare services.
This position will serve as a trusted resource and strategic liaison between clinical charging and revenue cycle teams ensuring accurate charge capture thorough reconciliation and adherence to regulatory coding and billing standards. Additionally this role will support compliant net revenue realization while proactively identifying and mitigating revenue leakage across the clinical enterprise.
This is a hybrid role with a minimum of 2 days/week on site.
If you are excited about this role we encourage you to apply!..
Job Responsibilities:
- Coordinate and perform with guidance day-to-day operational responsibilities of assigned elements of compliance programs (e.g. governance risk assessment audit corrective actions) within domain.
- Respond to or escalate compliance-related questions and issues raised by cross-departmental stakeholders.
- Assist leaders within compliance domain with preparation of reports around work progress and identified areas of improvement.
- Assist compliance teams with institutional education and training where applicable.
- As directed execute tasks related to assessment and remediation of risks within compliance area including data gathering analysis and trending.
- Assist in clarification and implementation of compliance policies and standards for assigned teams/areas.
- Maintains regular and predictable attendance
- Performs other related duties as assigned in order to meet the goals and objectives of the department and institution
Minimum Education and/or Training:
- Associates degree in relevant field required.
- Bachelors or Masters preferred.
Minimum Experience:
- Minimum Requirement: 4 years of relevant experience in compliance or related functional domain area.
- Experience Exception: Bachelors degree and 2 years of applicable experience in compliance or related functional domain area.
- Two (2) years of experience in professional and/or hospital charging Chargemaster audit or related experience preferred.
- Strong knowledge and background in hospital/professional coding demonstrating progressive experience within a healthcare organization desired.
- Working knowledge of hospital and/or professional revenue cycle functions preferred
- Epic end user experience preferred.
- Craneware end-user experience desired.
- Proven performance in earlier role.
Licensure Registration and/or Certification preferred:
- (LC: RN-TN) Current Tennessee State Board of Nursing license if primary residence is Tennessee or a Nurse Licensure non-Compact state preferred.
- (LC: RN-ARK or RN-MISS) Current State Board of Nursing license in the state of primary residence if the state is a Nurse Licensure Compact state preferred.
- Coding Certification through AAPC or AHIMA in one of the following preferred: (CNA) Certified Nurse Auditor (CCA) Certified Coding Associate (CPC) Certified Professional Coder (COC Certified Outpatient Coder (CIC) Certified Inpatient Coder (RCC) Radiology Certified Coder (CCS) Certified Coding Specialist.
- Other credentials preferred: Certified Pharmacy Technician (CPhT) Radiology Technologist (RT)
Compensation
In recognition of certain U.S. state and municipal pay transparency laws St. Jude is including a reasonable estimate of the compensation range for this role. This is an estimate offered in good faith and a specific salary offer takes into account factors that are considered in making compensation decisions including but not limited to skill sets experience and training licensure and certifications and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current salary range is $65520 - $114400 per year for the role of Revenue Integrity Analyst.Explore our exceptional benefits!
No Search Firms
St. Jude Childrens Research Hospital does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at St. Jude via email the internet or in any form and/or method without a valid written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by St. Jude.
Required Experience:
IC
Employment Type
Full-Time
