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Revenue Cycle Integrity Analyst
2 months ago
Position Overview:
Catholic Health Service stands as a premier provider of health and human services on Long Island, employing over 16,000 dedicated professionals across a diverse range of facilities, including six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices.
Our mission is centered on the compassionate care we deliver to our communities. We collaborate to enhance patient outcomes through evidence-based practices, ensuring that every individual receives exceptional care.
Join our team of healthcare professionals and discover why Catholic Health Service is recognized as one of Long Island's Top Workplaces.
Key Responsibilities:
- Act as the primary liaison for revenue matters between the revenue cycle management teams, hospital and outpatient departments, and any physician/provider areas generating professional revenue.
- Collaborate with departmental revenue leaders and staff to ensure effective charge capture processes, including daily operations, revenue reconciliation, and error correction.
- Provide guidance on proper charge capture and billing procedures to clinical departments and facilities.
- Conduct regular assessments of charge capture practices within designated departments.
- Identify trends and contribute to resolving revenue-related issues.
- Spot opportunities for additional revenue capture in alignment with payer guidelines.
- Develop specifications to enhance existing charge capture applications, minimizing claim edits and rejections.
- Coordinate research and implementation of charge capture processes for new services and technologies.
- Collaborate with coding and clinical teams to address errors in accordance with ICD/CPT coding standards and national guidelines.
- Respond promptly to inquiries regarding departmental charging.
- Facilitate meetings to review charge capture findings.
- Assist in creating training materials and policies for the Revenue Integrity team and departments involved in physician services.
- Perform additional duties as required.
Qualifications:
Education:
- Bachelor's degree in Healthcare, Business Administration, Finance, Accounting, Nursing, or a related field, or equivalent experience.
Skills:
- Ability to effectively present and engage with all levels of management in both outpatient and hospital settings.
- Strong interpersonal skills to foster collaboration across the organization.
- Exceptional attention to detail and organizational skills, with the ability to prioritize tasks effectively.
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving capabilities.
- Self-motivated with the ability to work independently and manage time efficiently.
- Proficient in identifying and redesigning inefficient workflows and processes.
- Professional demeanor with a commitment to teamwork.
- Ability to deliver quality work within established deadlines.
Experience:
- A minimum of three years of experience in charge documentation, audits, or capture activities.
- Proficient knowledge of ICD/CPT coding; certification such as CPC or CCS-P is required.
- Strong computer skills, particularly in Microsoft Office Suite (Excel, PowerPoint, Word; Access is a plus).
- Experience with Epic HB/PB is preferred.
- Relevant Epic certification and/or proficiency is advantageous.
Compensation:
The salary range for this position is between USD $80,000 and USD $86,000 annually. This range is a good faith estimate and actual pay will depend on various factors, including qualifications, skills, competencies, and experience.
Catholic Health Service values a people-first approach, offering comprehensive benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that promotes professional and educational growth.
