Mount Nittany Health · 4 months ago
Revenue Integrity Analyst
Bellefonte, PA, United States
Full-time
Hybrid
Mid Level
3+ years expMount Nittany Health is a healthcare provider seeking a Revenue Integrity Analyst to enhance revenue integrity processes. The role involves ensuring accurate capture of patient service revenue, monitoring regulations, and maintaining communication with clinical departments to implement best practices in revenue cycle functions.
Health CareHospitalMedicalNon ProfitWellness
Responsibilities
Provides support and insight into Revenue Integrity processes including front-end avoidable denials, charge capture/reconciliation, report trending and analytics, RI training/education as needed
Responsible for the overall timely and accurate capture of patient service revenue, assists with the development or maintenance of the Charge Description Master (CDM)
Focusing on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing
Maintain a good working relationship with all clinical charging departments to ensure clear communication and a collaborative approach to implementing best practice processes
Serving as liaison, responsible for monitoring and communicating current regulations and reporting requirements as set by government or other payers, and ensuring any changes are properly implemented through project oversight
Qualification
Required
Bachelor's degree in Business, Finance, Healthcare or closely related field, or equivalent years' experience
3-5 years related professional/business experience in a technical/financial healthcare environment required
Demonstrated experience in utilization of patient accounting systems
Solid computer technical skills required, including proficiency with Microsoft Office products (Word, Excel, Access, and PowerPoint)
Proven excellent communication and customer service skills, including the ability to progressively investigate, analyze and identify sources of problems, provide practical solutions, and negotiate resolutions
Ability to make independent business decisions, considering both the impact on client satisfaction and overall fiscal impact for the department and organization
Ability to streamline processes for efficiency
Strong analytical aptitude and experience creating financial analysis
Possesses a good sense of general business acumen
Strong understanding of charging, billing best practices, DRG and CPT/HCPC Medical Coding and Medical Terminology
Basic understanding of Accounting Principles and Hospital Financial Reporting
Knowledge of Medicare, Medicaid, and other private payer billing regulations
Preferred
Epic knowledge preferred
Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC (CPC-H) and/or certification as a Revenue Cycle Integrity Professional (CRIP) preferred
Company
Mount Nittany Health
Mount Nittany Health provides emergency and surgical services at its hospital.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Bryan Roach
Chief Financial Officer
Dawn Tice
Chief Operating Officer
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