Moffitt Cancer Center · 2 months ago
REVENUE INTEGRITY CERTIFIED ANALYST IV
Tampa, FL
Full-time
Onsite
Senior Level, Lead/Staff
10+ years expMoffitt Cancer Center is focused on ensuring accurate and compliant charge capture for clinical services. The Revenue Integrity Certified Analyst IV works with clinical leadership to manage charge processes, conduct audits, and train staff on compliance requirements.
Health Care
Responsibilities
Research coding on new clinical business
Chargemaster Management
Charge Audit
Complex Coding
Education and Training
Special Projects
All other duties as assigned
Qualification
Required
High School Diploma/GED required
Minimum of ten (10) years of experience in revenue integrity processes. Related experience may include a combination of charge audit, chargemaster management and maintenance and account coding for payor reimbursement
Any 'one' of the following certifications is required upon hire: (CCS) Certified Coding Specialist, (CPMA) Professional Certified Medical Auditor, (CPC) Certified Inpatient Coder, (COC) Certified Outpatient Coder, (CCS-P) Certified Coding Specialist-Physician Based, (RHIT) Reg Health Info Technician, (RHIA) Reg Health Info Administrator, Any certification not listed above, but issued from one of the approved Governing Bodies listed below, may be considered by the business to satisfy this requirement. (RN) Registered Nurse, in lieu of certification (active) RN will satisfy the certification requirement
Experience with Ambulatory Payment Classification (APC) reimbursement, Center for Medicare and Medicaid Services (CMS) rules and regulations, coding and billing compliance
Demonstrates ability to interpret, analyze, develop, direct and implement action to comply with proposed or final Medicare regulations
Proficiency with financial data with billing and reimbursement related experience
Understands financial management and health care reporting including the relationship between the Charge Description Master (CDM), charging and cost reporting
Demonstrates knowledge of the charge development process and the interrelationship of cost accounting, cost management, decision support and related functions
Possesses a working knowledge of various payment and coding systems, particularly the Outpatient Prospective Payment System (OPPS), and Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding schemes
Possesses a working knowledge of hospital and professional claims forms
Understands charging processes and compliance issues and has the ability to provide resolutions by performing internet research, utilizing third party payor regulations, referencing coding guidelines, and referencing local Fiscal Intermediary and Center of Medicare and Medicare guidelines
Demonstrates knowledge and proficiency of standard PC word processing, spreadsheet, database and presentation applications (e.g., Word, Excel, Access, PowerPoint) to develop, prepare and analyze statistical reports
Excellent project management, problem solving and analytical skills
Ability to work independently, identify and resolve problems
Excellent interpersonal and communication skills including ability to resolve conflicts with tact and diplomacy, work with all levels of management
Demonstrates knowledge of revenue cycle business processes, including scheduling, registration, documentation, coding, charge entry, billing, collections and reimbursement
Direct operations experience in one or more revenue cycle business processes (relevant consulting experience may substitute for operations experience)
Ability to maintain patient and compliance information in strict confidence
Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data
Company
Moffitt Cancer Center
Moffitt Cancer Center are contribute to the prevention and cure of cancer.
5001-10000 employees
H1B Sponsorship
Moffitt Cancer Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (56)
2023 (62)
2022 (56)
2021 (52)
2020 (33)
Funding
Current Stage
Late StageTotal Funding
$0.01MKey Investors
Foundation MedicineMassMutual Foundation
2023-07-31Grant
2023-07-12Grant· $0.01M
Leadership Team
Patrick Hwu
President and CEO
Joanna Weiss
Chief Financial Officer
Recent News
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