Revenue Integrity Analyst

5 days ago

Ortigas Metro Manila, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time ₱1,200,000 - ₱2,400,000 per year

Experience these exceptional benefits when you join Med-Metrix

  • 8-Hour Shifts, Fixed Weekends Off
  • Day 1 HMO with 2 of your dependents covered for FREE
  • Medical Cash Allowance
  • Rice Allowance
  • Clothing Allowance
  • Free Lunch Daily
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility

Job Purpose

The Revenue Integrity Analyst will serve as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues.

Duties and Responsibilities

  • Under general supervision this regional position supports the entire revenue cycle by using clinical expertise and analytical skills to resolve charging and billing issues
  • Establish and oversee the structure and processes to ensure timely/accurate charge capture and revenue monitoring policies and procedures are adhered to
  • Partner with department leaders to ensure clear accountability for daily charge capture and revenue monitoring, to include consultation on eliminating late/lost charges
  • Support departments in analyzing and resolve issues related to charge capture
  • Review, develop, implement, evaluate, and revise charge guidelines to optimize revenue management
  • Oversee assignment of observation and injection/infusion charges, as applicable
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

  • Ability to create, analyze, interpret and report on outcomes and variances
  • Charge Description Master Experience
  • Coding Credential (e.g., RHIT, CCS) or equivalent revenue cycle experience is required
  • 2 to 3 years of healthcare experience
  • General knowledge of Reimbursement Regulations
  • Participates in the identification and resolution of areas requiring additional intervention through established Billing and Corporate Compliance work plans
  • Experience with Meditech preferred
  • Experience with charge reconciliation with the individual departments for any rejected charges
  • Must be able to act independently with only general supervision
  • Excellent written and verbal communication skills

Working Conditions

  • Work Set-Up: Work From Home
  • Work Schedule: US hours, night shift; must be flexible to accommodate business needs
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.

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