Revenue Integrity Analyst

1 week ago


Franklin, Tennessee, United States Acadia Healthcare Full time

Overview:

Now Hiring: Remote Revenue Integrity Analyst

The Revenue Integrity Analyst is responsible for complete and accurate charge capture through review of medical record documentation of clinical services and procedures to ensure data integrity. Performs charge reconciliation activity to ensure optimal charge capture in accordance with Medicare, Medicaid or Third Party payor guidelines. Classification systems include ICD-9-CM, CPT, HCPCS as well as other specialty financial systems required for charging, billing and reimbursement analysis.

ESSENTIAL FUNCTIONS:

The Revenue Integrity Analyst is responsible for improving charge capture accuracy through workflow assessments, coding reviews, process improvement, collaboration, and reporting.

The Revenue Integrity Analyst works collaboratively with leadership to assist in development, project management, and implementation of process enhancements or corporate initiatives to enhance charge capture accuracy.

This role monitors and analyzes coding performance at the facility and business unit levels.

The Revenue Integrity Analyst serves as a liaison between revenue cycle operations, IT, and finance as it relates to charge capture documentation and reconciliation and possesses a clear understanding of the revenue cycle.

This role is responsible for analyzing and communicating missed revenue opportunity trends to providers and operational leaders.

The Analyst has the ability to understand the clinical content of a medical record, and may communicate with clinicians and billing specialists in order to clarify diagnoses/procedures and charging/billing guidelines, Prior experience in a behavioral health setting as a counselor or other clinical staff member highly beneficial, though not required.

STANDARD EXPECTATIONS:

Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.

Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.

Develops constructive and cooperative working relationships with others and maintains them over time.

Encourages and builds mutual trust, respect and cooperation among team members.

Maintains regular and predictable attendance. Plans time to deliver key deliverables on tim

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High school diploma or equivalent. Two years of coursework or equivalent work experience preferred.

Intermediate computer skills including Microsoft Office; especially Word and Excel.

Knowledge of office administration procedures with the ability to operate most standard office equipment.

Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.

Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.

Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.

Self-motivated with strong organizational skills and superior attention to detail.

Capable of working within established policies, procedures and practices prescribed by the organization.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

PREFERRED: CADC or similar counseling licensure



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