Vertek Solutions, Inc. · 20 hours ago
Revenue Integrity Data Analyst
Vertek Solutions, Inc. is seeking a Revenue Integrity Data Analyst to ensure compliance with CMS and maintain charge integrity across the organization. The role involves auditing charge documents, implementing charge capture processes, and collaborating with various departments to enhance charge accuracy and compliance.
Responsibilities
Document reports and findings along with recommendations and action plans for improvement
Implements and tracks action plans needed to assure for compliance of standard charge capture practices
Assist clinical staff with updating, implementing and training staff to perform new charge processes
Works with the charge master team on charging policy and procedures, education to the facilities and appropriate revenue by department
Provides support to all facilities on charge questions, training and education and charge reconciliation and capture
Works with the divisions on any charge, revenue issues or concerns related to charge audits including investigating and resolving root cause issues
Captures and reports findings in on Excel spreadsheets or Access databases
Provides feedback and assist during the corrective action process
Drafts monthly summary for Leadership
Daily reports of findings, issues, resolutions, etc. for hospital leadership
Qualification
Required
Familiar with Supply
Implemented Chargemaster
Ability/experience to recognize and review supplies that are chargeable or routine
Cerner Experience
Supply Chain Management Experience
Understand HCPCS Codes/Charges as it relates to CMS Guidelines and Supply Charging
Understand Supply Charging Guidelines/Chargeable vs. Non-Chargeable
Researching of Supplies to assign appropriate Code
Able to work large files and team on Supply process
2-3 Years of Revenue Cycle, Charge Capture and or Coding Experience
Heavy Data Driven Role
Preferred
RHIA, CCS-P and or CPC Certification
Company
Vertek Solutions, Inc.
Vertek Solutions is a boutique staffing firm that specializes in recruiting top-level technology professionals who can enhance our clients’ teams.