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Northside Hospital · 7 hours ago

Revenue Integrity Analyst

Atlanta, GA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Northside Hospital is an award-winning, state-of-the-art healthcare facility dedicated to expanding the quality and reach of care. The Revenue Integrity Analyst is responsible for maintaining the Chargemaster in compliance with regulations and ensuring proper coding and billing practices within the organization.

CommunitiesFitnessHealth CareLeisure

Growth Opportunities

Responsibilities

Reviews compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the Chargemaster

Educates Department Managers and/or Practice Managers on compliance and coding regulations

Coordinates with Department Managers and/or Practice Managers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated

Coordinates the set up & maintenance of the Chargemaster, system charging templates and/or charge sheets for Departments and/or Practices

Assists in the development of Hospital System Policies relating to charge entry, price setting, and development of new charge items

Conducts audits to assure all documented charges are being captured and performs audits to confirm that charges are being billed correctly on the claim

Coordinates with the business office to resolve any denial issues related to the Chargemaster

Assists Revenue Cycle Support Coordinator in other projects and analyses

Qualification

Coding credentialHospital coding experienceChargemaster maintenanceCompliance regulations knowledgeMicrosoft Office knowledgeCommunication skills

Required

B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration. Relevant years of work experience in the range of 8 – 10 years may be substituted for a B.S. degree

Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background

Must have minimum of 2 years hospital and/or physician practice coding experience

Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel

Knowledge of Microsoft Office products