Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote jobs in United States
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Norton Healthcare · 1 month ago

Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
date3+ years exp

Norton Healthcare is seeking a Senior Revenue Integrity Pharmacy Analyst responsible for reviewing pharmacy-related charge audits and ensuring compliance with billing regulations. The role requires collaboration with various teams to maximize reimbursement and provide support on coding and documentation requirements.

Emergency MedicineHealth CareHospitalInformation TechnologyLGBTmHealthNon ProfitOutpatient CareWomen's
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Growth Opportunities

Responsibilities

The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis
They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement
Additionally they provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements

Qualification

Healthcare revenue cyclePharmacy billingCoding certificationsClinic operationsAttention to detail

Required

Three years of experience in healthcare revenue cycle, clinic operations or pharmacy technician
One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT

Preferred

Certified Coding Associate
Certified Coding Specialist
Certified Professional Coder
Registered Health Information Administrator
Registered Health Information Technician
Certified Outpatient Coding
Certified Inpatient Coder ICD-10

Company

Norton Healthcare

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Norton Healthcare specializes in heart, neuroscience, cancer, orthopedic, women’s health, general surgery and pediatric services.
dateFounded in 1988
location
Louisville, Kentucky, USA
people-size10001+ employees
web-link
https://nortonhealthcare.com

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
CDA Foundation
2024-03-18Grant

Leadership Team

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John Hammond
Senior Vice President & Chief Human Resources Officer
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Kim Tharp-Barrie DNP, RN, SANE, FAAN, FNAP
Senior Vice President & Chief Nursing Officer
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