Revenue Integrity Senior Analyst - HMFP

The Revenue Integrity Senior Analyst will contribute to Revenue Integrity and Coding oversight at the enterprise, maximizing synergies across HMFP departments, initiating and leading revenue integrity and coding process improvement, identifying and addressing risks, monitoring key revenue integrity and coding operational and financial metrics, providing subject-matter expertise, and ensuring adherence to established standards and policies.

Requirements

• Bachelor's degree required.
• Certification: Certified Professional Coder (CPC) required.
• 5 or more years physician/professional revenue operations experience with a focus in one or more of the following areas: coding, revenue integrity, charge reconciliation, charge compliance, charge auditing, CDM management.
• EPIC PB experience preferred.
• Extensive knowledge of revenue cycle processes and physician billing, code sets, reimbursement theories, NCCI edits, Medicare LCD/NCDs, health care documentation, coding and billing requirements, federal and state health care regulatory requirements, health care compliance, medical terminology, anatomy and physiology, and clinical department activities.
• Abilities: Manage large complex projects assignments, investigate, analyze and resolve issues at a high level, excellent communication, presentation, organizational, analytical and problem-solving skills, approach problem solving challenges independently, have strong attention to detail and enjoy working in a fast paced, collaborative team based environment.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan