Professional Revenue Integrity Analyst jobs in United States
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Southwest General Health Center · 1 day ago

Professional Revenue Integrity Analyst

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio, committed to providing a full range of services to the community. The Professional Revenue Integrity Analyst acts as a consultant to ensure accurate billing and coding for medical services, serving as a liaison to vendors and partners in the Professional Revenue Cycle.

Health CareHospitalNon Profit

Responsibilities

The Professional Revenue Integrity Analyst acts as a consultant to the Southwest General Medical Group providers and other stakeholders to ensure accurate and complete billing and coding for the professional services of these providers
The RI Analyst acts as a liaison to vendors and partners in the Professional Revenue Cycle

Qualification

Medical terminologyICD-10 codingCPT codingE/M level codingCPC certificationCPMA certificationCCS-P certificationClaims billing experienceDenialsAppealsAuditing experience

Required

High School diploma or equivalent required
Extensive knowledge of medical terminology, anatomy and physiology required
Knowledge of ICD-10, CPT, E/M level coding and modifier usage required
Two years' experience working in a medical practices coding environment
Two years' experience with claims billing and follow up, including denials and appeals
One year experience auditing provider coding and billing
CPC, CPMA or CCS-P

Company

Southwest General Health Center

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Southwest General is a 368-bed, non-profit hospital serving southwestern Cuyahoga, northern Medina and eastern Lorain counties.

Funding

Current Stage
Late Stage

Leadership Team

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Kelly Linson, MBA, CPA, FHFMA
Vice President and Chief Financial Officer
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Yvonne Dickens
Chief Compliance & Privacy Officer
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Company data provided by crunchbase