Revenue Cycle Analyst jobs in United States
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PathGroup · 2 days ago

Revenue Cycle Analyst

PathGroup is a healthcare organization focused on providing quality medical services. The Revenue Cycle Analyst is responsible for managing medical records, conducting quality assurance, and preparing for audits while supporting the Coding Department.

BiotechnologyHealth CareHealth Diagnostics

Responsibilities

Provide accurate data for Legal requests, such as ledgers, itemized statements, 1500s and medical records as quickly and accurately as possible
Retrieve activities for the HEDIS requests
Ability to accurately interpret medical documentation to ensure they are providing accurate data requested (lab results/orders)
Review Pre and Post payments
Provide a detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit readiness. Maintain all medical records and charts
Assist in utilization review and research programs
Handle documentation management to ensure documents received by the coding department are scanned into the correct patient chart
Assist the department in requesting additional clinical documentation if needed
Abide by all regulatory, company and departmental regulations, policies and procedures, including the Corporate Compliance Program
Contribute to a positive work climate and to the team effort of the department and company
Support PathGroup's mission, vision, goals and management decisions
Become familiar with and abide by the Corporate Compliance Program and all corporate policies, including the Privacy and Security policies
Work with other departments within PathGroup and subsidiaries
Nothing in the job description restricts management's right to assign or reassign duties and responsibilities to this job at any time
Other duties as assigned

Qualification

Medical records managementQuality assuranceUtilization reviewAudit preparationRegulatory complianceDetail-orientedTeam collaboration

Required

Responsible for medical records, quality assurance/utilization review and audit preparation
Provide accurate data for Legal requests, such as ledgers, itemized statements, 1500s and medical records as quickly and accurately as possible
Retrieve activities for the HEDIS requests
Ability to accurately interpret medical documentation to ensure they are providing accurate data requested (lab results/orders)
Review Pre and Post payments
Provide a detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit readiness
Maintain all medical records and charts
Assist in utilization review and research programs
Handle documentation management to ensure documents received by the coding department are scanned into the correct patient chart
Assist the department in requesting additional clinical documentation if needed
Abide by all regulatory, company and departmental regulations, policies and procedures, including the Corporate Compliance Program
Contribute to a positive work climate and to the team effort of the department and company
Support PathGroup's mission, vision, goals and management decisions
Become familiar with and abide by the Corporate Compliance Program and all corporate policies, including the Privacy and Security policies

Company

PathGroup

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PathGroup provides anatomic and clinical pathology services in Tennessee, Kentucky, Georgia, Illinois, Indiana, and North Carolina.

Funding

Current Stage
Late Stage
Total Funding
$19.5M
2022-05-13Private Equity
2016-08-01Private Equity
2010-01-12Debt Financing· $19.5M

Leadership Team

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Imad Nijim
Senior Vice President, Chief Information Officer
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Company data provided by crunchbase