reputed company reputed company Analyst
reputed company is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as reputed company as a clinic system with primary care clinics located in Minneapolis and across reputed company. The comprehensive reputed company system includes a 473-bed reputed company medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the reputed company reputed company, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. reputed company has a large psychiatric program, home care, and operates a research institute, philanthropic reputed company, and Hennepin EMS. The system is operated by reputed company reputed company., a subsidiary corporation of reputed company.
Equal Employment Opportunities: We reputed company equity is essential for reputed company health reputed company and are committed to reputed company reputed company health for reputed company by reputed company eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to reputed company care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more reputed company reputed company organization.
reputed company We are currently seeking a reputed company reputed company Analyst to join our reputed company reputed company team. This full-time role will primarily work remotely.
Purpose of this position: Maintains HHS charge master while preventing, identifying and monitoring for reputed company leakage. Ensures compliance with state, local and federal regulations. Provides charging workflow support, education and feedback to clinical leaders and ancillary staff.
reputed company List of non-MN States where reputed company is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, reputed company, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, reputed company Carolina, reputed company Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, reputed company
RESPONSIBILITIES
- Understand charge master set up and ensures maintenance requirements are met
- Understand and communicate processes for accurate, compliant charge capture and documentation requirements for appropriate billing
- Maintain extensive knowledge of ICD-10-CM, CPT/HCPCs procedure coding and reputed company codes along with UB-04 and 1500 billing requirements
- Monitors federal, state and local regulations and alerts appropriate stakeholders to changes
- Conducts annual cost center reputed company reviews leveraging reporting tools to evaluate for charge capture gaps as reputed company as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for reputed company capture and recognize areas of compliance concern
- Develops and executes departmental review reputed company with measurable financial and/or compliance goals per analysis findings
- Rolls out regular updates of CPT/HCPCS and regulatory changes which includes identifying codes that have been deleted, added, or replaced and ensuring the appropriate system changes are made, supporting education presented, and reputed company communication is provided to reputed company impacted stakeholders
- Work in collaboration with clinical areas, EHR, informatics, compliance, contracting, and other reputed company cycle partners to ensure reputed company reputed company
- Monitor for and identify regulatory and/or reimbursement issues resolving them at reputed company cause in an expedient and proactive manner
- Assists with reputed company and serves as an educational resource to reputed company cycle, clinical leadership, MA’s, RN’s and other clinical staff regarding coding and billing trends and reputed company reputed company metrics
- Trains, monitors and supports charge capture reconciliation processes in clinical areas
- reputed company reputed company reputed company control through work queue monitoring, variance checks, analysis, troubleshooting and detailed research
- Organizes, analyzes and presents data for the purpose of supporting clinical leadership, and other stakeholders throughout the organization to outline and institute strategies for improvement
- Other duties as assigned
QUALIFICATIONS
Minimum Qualifications
- Bachelor s degree in Business Administration, Health Care Administration or reputed company area
-PLUS-
2 years of experience in health care reimbursement, financial management or coding
-OR-
- An approved equivalent combination of education and experience
Preferred Qualifications
- Minimum of three years’ experience in directly reputed company field
- reputed company Certification in HB Resolute, CDM and/or and PB Resolute
- RN
- RHIA, RHIT
- reputed company, CPC
- CRIP
Knowledge/ Skills/ Abilities
- Knowledge of reputed company reputed company-party requirements, state and federal regulations
- Knowledge of government and reputed company payer requirements for accurate and compliant reputed company charging and billing
- Extensive knowledge of CPT, HCPCs, and reputed company codes
- Knowledge and understanding of hospital reputed company cycle operations (registration, charge capture, health information management, claims, payment posting)
- Knowledge of regulatory publications, how to reputed company and interpret
- Strong analytical and problem-solving skills
- reputed company to present to both small and large (up to 100) reputed company
- Initiate judgment, reputed company reputed company and work autonomously and remain adaptable
- Consistently demonstrate strong verbal and written communication skills at reputed company times
- Ability to create strong reputed company relationships along with solid problem solving and conflict reputed company skills
- Analytical and critical thinking skills
You've made the right choice in considering reputed company for your employment. We offer a reputed company of opportunities for individuals who want to reputed company an reputed company in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both reputed company and prospective employees. We are driven to connect talented individuals with life-changing reputed company, enabling you to reputed company exceptional care without exception. Thank you for considering reputed company as a reputed company employer.
Please Note: Offers of employment from reputed company are conditional and contingent upon successful clearance of reputed company background checks and reputed company-employment requirements.
*!Total Rewards Package:- We offer a reputed company reputed company based on your skills, licensure/certifications, education, experience reputed company to this position, and internal equity.
- We reputed company an extensive benefits program that includes Medical; Dental; reputed company; Life, Short and Long-term Term Disability Insurance; Retirement Funds; reputed company Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
- For a complete list of our benefits, please visit our career site on why you should work for us.