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NorthBay Health · 3 months ago

Revenue Integrity Analyst V

Fairfield, CA

Full-time

Onsite

Senior Level

$50/hr - $65/hr

7+ years exp

NorthBay Health is an independent, nonprofit health system expanding its footprint across the Napa/Solano Region. The Revenue Integrity Analyst V is responsible for managing and monitoring revenue and charges while ensuring compliance with regulations and policies, providing analytical support for payer reimbursement contracts, and collaborating with other departments in the Revenue Cycle Management.

Health CareHospitalMedical

Responsibilities

Responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure established goals are met while adhering to federal and state regulations, policies of external payers, coding rules and guidelines

Exercise independent decisions using analytical and problem-solving skills

Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts

Works closely with the analysts in the other Revenue Cycle Management Departments to ensure effective workflow and process

Maintains strong working knowledge of operational policies and procedures related to accounts receivable management as well

Responsible for evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management

Performs audits designed to ensure integrity, quality and control over the billing processes

Assists with training and education on the information systems functionality and billing and coding practices

Qualification

Coding certificationHospital Medicare billingRevenue cycle managementMS Office proficiencyAnalytical skillsRegulatory interpretationProject managementInterpersonal skillsOrganizational skillsCommunication skills

Required

Bachelor's degree in business administration, healthcare administration, nursing or other related degree

Coding certification (e.g. CPC, CCS, RHIA, RHIT) is required

Minimum seven years of hospital business office experience, or three years of clinical patient care with two years of medical business office experience required

Two years of hospital Medicare billing/coding experience strongly preferred

Experience with interfaces required

Strong organizational and meeting facilitation skills

Strong project management capabilities

Ability to read and interpret regulatory information related to billing of CDM data

Proficient in MS office applications, especially Excel, PowerPoint, Word and Access

Knowledge of internet and government websites required

Ability to communicate effectively in writing for policies, procedures, external communications and internal communications

Ability to work effectively with a variety of personnel with varied backgrounds, education and skills, in a team environment

Ability to effectively manage multiple priorities