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Healthcare Revenue Optimization Analyst
3 months ago
______________________________________________________________________
Join UMC Physicians:
Where Employee Satisfaction Soars at 98%
Job Title:
Healthcare Revenue Optimization Analyst
Department:
Central Business Office
Location:
Security Park B-27
Overview:
We are seeking a detail-oriented and analytical Healthcare Revenue Optimization Analyst to join our team. The ideal candidate will possess a strong understanding of medical coding principles, revenue cycle management, and healthcare reimbursement methodologies.
The Healthcare Revenue Optimization Analyst will play a crucial role in ensuring accurate coding practices, optimizing revenue capture, and maintaining compliance with regulatory requirements.
Availability Requirements:
- This job involves both remote and in-office work on a weekly basis
- Ability to work 40 hours per week; hours of duty may be irregular
Benefits:
UMC Physicians offers a comprehensive benefits package to eligible full-time employees
Benefits include:
- Paid Time Off
- Sick Pay
- Medical, Dental and Vision Insurance
- Employer Paid Group Life and Voluntary Life Insurance
- Short Term Disability Insurance
- Long Term Disability (after 2 years of employment)
- Critical Illness, Accident and Cancer Insurance
- Health Care and Dependent Care Spending Accounts
- 401K Retirement Plan with Company Match
- Employee Assistance Program
Note:
Some benefits require an employee contribution to participate.
Essential Job Functions:
- Review and analyze medical records to ensure accurate coding of
- Conduct coding audits to identify discrepancies, coding errors, and
- Collaborate with healthcare providers, coding staff, and revenue cycle
- Monitor coding trends and industry changes to ensure compliance with
- Perform root cause analysis for coding denials and rejections and i
- Provide education and training to coding staff and healthcare providers on
strategies.
- Assist in the development and implementation of coding policies,
integrity.
- Generate reports and metrics to track coding performance, revenue trends,
- Participate in revenue cycle improvement initiatives, process
and maximize revenue capture.
- Serve as a subject matter expert on coding and revenue integrity matters,
Qualifications:
- Bachelor's degree (preferred) in Health Information Management,
- Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or
- Minimum of 2-3 years of experience in medical coding, revenue cycle
- Proficiency in ICD-10-CM/PCS, CPT, HCPCS coding systems, and medical
- Strong analytical skills with the ability to interpret complex coding
- Excellent communication skills with the ability to effectively collaborate
- Detail-oriented with a high level of accuracy and attention to detail.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and
systems preferred.
- Knowledge of healthcare reimbursement methodologies, payer contracts,
Environmental Conditions:
Works in well-lighted, heated and ventilated building. Exposure to blood borne pathogens are of low risk.
Physical Requirements:
Work is of medium demand; walking and sitting most of the time while on duty. Adequate hand/eye coordination and fine motor skills required. Visual acuity and writing skills necessary for factual documentation. Hours may vary to
accommodate needs of the corporation
Limitations and Disclaimer
The above job description is meant to describe the general nature of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.
______________________________________________________________________UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
*Request for accommodations in the hire process should be directed to UMC Human Resources.