Service Line Analyst in Revenue Management

2 weeks ago


Orange, California, United States Acord (association For Cooperative Operations Research And Development) Full time
Position Title: Revenue Integrity Service Line Analyst

Department: Revenue Integrity

Employment Type: Full Time

Salary Range: USD $73,900.00 - $133,700.00 per year

About Us:
The Acord (Association for Cooperative Operations Research and Development) is dedicated to enhancing operational efficiency through collaborative research and development. Our team comprises skilled professionals committed to driving excellence in the healthcare sector.

Role Overview:
As a Revenue Integrity Service Line Analyst, you will work under the guidance of the Revenue Integrity Assistant Director. Your primary responsibilities will include:
  • Conducting thorough data collection and producing insightful reports.
  • Performing in-depth financial analyses to support internal operations and revenue cycle functions.
  • Monitoring charge capture activities and assisting in automation initiatives.
  • Collaborating with revenue cycle partners on system enhancements.

Key Responsibilities:
Your essential duties will include, but are not limited to:
  • Developing and recommending improvements to policies and procedures for optimal system utilization.
  • Writing comprehensive analytical reports and summarizing data relevant to assigned issues.
  • Conducting extensive analyses, including benchmarking and performance improvement assessments.
  • Monitoring daily charge processing and addressing issues proactively.
  • Contributing to project plans for system upgrades and programming enhancements.

Qualifications:
Required:
  • Ability to interpret governmental and commercial payer regulations.
  • Proficient in working collaboratively with various levels of healthcare personnel.
  • Experience in transforming master files into actionable reports.
  • Familiarity with Current Procedural Terminology (CPT) and Diagnosis codes (ICD-9 and ICD-10).
  • Knowledge of HIPAA regulations and hospital billing systems.
  • Strong written and verbal communication skills.
  • Proficient in Microsoft Access and Excel.

Preferred:
  • Experience with Tableau and SQL.
  • Certification as a CHP professional from AHIMA.
  • CPC-H or CPC coding certification.
  • Bachelor's Degree in Business, Finance, or a related field.

Conditions of Employment:
Successful candidates will be required to undergo a background check and comply with legal work authorization requirements.

Equal Opportunity Statement:
Acord is an Equal Opportunity/Affirmative Action Employer. We encourage applications from all qualified individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or veteran status.

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