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United Surgical Partners International, Inc · 2 weeks ago

Revenue Integrity Analyst

Oklahoma City, OK

Contract

Onsite

Entry, Mid Level

2+ years exp

United Surgical Partners International, Inc is a healthcare organization that values compassion and service. The Revenue Integrity Analyst will ensure the accuracy and compliance of billing, coding, and charge capture processes while collaborating with various teams to optimize revenue and minimize financial risk.

Health CareWellness

Responsibilities

Conduct internal billing audits, perform quantitative and financial analysis, and analyze denial trends to identify root causes

Ensure adherence to managed care contracts, government fee schedules, and other healthcare regulations

Manage and maintain the charge master, which is a list of services and procedures a healthcare facility charges for

Develop and produce standard and ad-hoc reports to track revenue cycle performance, reimbursement trends, and key performance indicators

Collaborate with clinical, operational, and finance teams to implement process improvements, workflow changes, and system enhancements

Provide education and training to employees and provider offices on correct claim coding and billing procedures

Identifies all charge entry errors through electronic claims submission rejections, return reports and denials

Researches and identifies the charge entry errors and makes all necessary corrections to resolve the issue

Receives charge entry correction requests from department managers and performs necessary research to verify the requested correction as valid. After verified makes all necessary corrections to claim

Responds to client requests within 1 business day to advice correction completed or communicates expected turnaround time if completion will take longer

Completes requests for master file revisions received from team members and management

Reviews master files to make sure their set up is complete and all the information is correct as entered

Tracks errors by doctor/client, error type and correction made so that this information can be reported to management for training of appropriate staff

Establishes and maintains a professional working relationship with all clinics/staff in all manners of communication

Assist manager with special projects and/or reports created for clients/staff

Works assigned work queues to completion daily

Reports all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing

Reviews current accounts for charging accuracy prior to claims being billed

Qualification

Epic EHR experienceCharge Master ManagementBillingCoding complianceMicrosoft Office proficiencyQuantitative analysisStress managementEffective communicationTeam collaboration

Required

High School Diploma or equivalent Required

Minimum 2 years of related experience

Preferred

Bachelor's Degree in a related field is preferred with licensure (CCS, RHIA, RHIT)

Epic electronic health record (EHR) experience preferred

Proficiency in Microsoft Office preferred

Benefits

Medical, dental, vision, and prescription coverage

Life and AD&D coverage

Availability of short- and long-term disability

Flexible financial benefits including FSAs, HSAs, and Daycare FSA.

401(k) and access to retirement planning

Employee Assistance Program (EAP)

Paid holidays and vacation

Company

United Surgical Partners International, Inc

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United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals.

Founded in 1998

Addison, Texas, USA

10001+ employees