Revenue Integrity Coding Analyst Revo Health

Bloomington, IN - USA

Monthly Salary: Not Disclosed

Posted on: 19 hours ago

Vacancies: 1 Vacancy

Job Summary

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner.

This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote in office would be in at our Bloomington location and be a part of the billing team (not the coding team).

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Essential functions:

Monitor and manage edits software to optimize clean claims rate and minimize denials.
Manage coding denial queues.
Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable.
Perform analysis of denied claims to identify trends impacting revenue
Assist PFS Specialists in submitting appeal and successful
Effectively communicate claim trends to aid in finalizing outstanding
Investigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts toward
Research changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership.
Act as subject matter expert for i-Health practice claim denials.
Any and all other duties as assigned

Education and Experience Requirements:

High School diploma/GED or equivalent
Minimum of 5 years experience in billing operations preferred
Minimum of 5 years experience in coding preferred
Minimum of 2 years experience in RCx Rules or other edits software
CPC preferred

Benefits & Compensation:

Actual starting pay will vary based on education skills and experience.
We offer a comprehensive Medical Dental & Vision Plan Maternity Bundle 401K with Profit Sharing Tuition Reimbursement Gym & Car Rental Discounts - to learn more clickâhere.â

Essential Requirements:

Ability to:

Comply with company policies procedures practices and business ethics
Complete job required
Comply with all applicable laws and regulations (e.g. HIPAA Stark OSHA employment laws )
Maintain prompt and reliable attendance
Work in the clinic office or surgery center during business hours
Travel independently throughout the clinic office or surgery center (which may include movement from floor to floor); frequent bending lifting stooping or sitting for long periods of time may be required
Work at an efficient and productive pace handle interruptions appropriately and meet deadlines
Converse in a respectful and professional manner
Prioritize workload while being flexible to meet the expectations of the daily operations
Apply principles of logical thinking to define problems establish facts and draw valid conclusions
Understand and execute a variety of instructions
Effectively operate equipment and communicate on and operate the phone system
Work independently with minimal supervision
Travel to other work locations if required

Performance Expectations Revos Core Values:

Integrity - Do the right thing and take responsibility for what you do and say
Service - Consistently contribute to deliver an exceptional experience
Quality - Act with high purpose committed effort and skillful execution to exceed expectations
Innovation - Identify progressive solutions that improve service teamwork efficiency and/or effectiveness
Teamwork - Be a part of the whole; support each other positively

Environmental Conditions:

Normal clinic/office setting

Notes:

Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.

Required Experience:

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner.This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote in office would be in at our Bloomington loca...