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Sr. Revenue Integrity Analyst

Location
Bristol, Connecticut
Job Type
Permanent
Posted
7 Sep 2022
Job Details

Level
Senior

Job Location
BHI Valley St - Bristol, CT

Position Type
Full Time

Education Level
4 Year Degree

Job Shift
1st Shift (Days)

Job Summary

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

Under the direction of the Director of Revenue Cycle, the Senior Revenue Integrity Analyst plays a leadership role and is tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, superb analytic and organizational skills, and the ability to influence but not directly manage the work of others.

Essential Job Functions and Responsibilities:
  • Evaluates current charging and coding structures and processes in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payer requirements.
  • Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents used to capture revenue.
  • Ensures that all charges are reconciled before submitting for billing. Collaborating when necessary to obtain missing or inaccurate information required to document and bill a service.
  • Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate.
  • Provides guidance, communication and education on correct charge capture, coding and billing processes.
  • Leads and participates in projects related to revenue cycle initiatives.
  • Analyzes billing error and denial data to identify root causes.
  • Executes on work plans to correct identified deficiencies.
  • Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
  • Executes on work plans to adapt systems and processes to accommodate changes.
  • Assisting in the design and implementation of charge capture/billing workflow improvements.
  • Participates in chargemaster (CDM) maintenance efforts by reviewing whether charges accurately reflect provided services/supplies and are consistent with industry best practices. Collaborating with the Sr. Revenue Analyst to update the CDM as needed.

Qualifications

Educational / Minimum Requirements:
  • Bachelor's Degree in appropriate discipline (Business Administration, Accounting, and Finance) or equivalent experience. Three to five years of hospital billing experience preferred.
• Experience using Meditech Patient Accounting

• Knowledge of CPT-HCPCS, third party reimbursement methodologies, and revenue cycle process

• Expert knowledge of inpatient and outpatient billing requirements, coding guidelines and CMS Medicare reimbursement methodology

• Excellent communication and interpersonal skills with the ability to effectively interpret, communicate, and educate others

• Strong quantitative, analytical and organizational skills

• Ability to respond to complex inquiries in a professional and efficient manner

• Proficient in using Microsoft Excel, PowerPoint and Word

State/Federal Mandated Licensure or Certification Requirements:

Coding Certificate required or willing to obtain certification within three months of hire.

Bristol Hospital Mandated Educational Requirements:

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.

Special Requirements:

Intermediate knowledge of Excel and Word is required. MediTech or other hospital billing systems is beneficial.

Physical Requirements:

Extending sitting at desk and/or computer terminal. Extensive eye usage.

Work Environment:

Normal office conditions.

Cognitive Requirements:

Must be able to think independently, analyze information, execute written and oral instructions, follow directions, and have good mathematical aptitude.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
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Details

  • Job Reference: 706415078-2
  • Date Posted: 7 September 2022
  • Recruiter: BRISTOL HOSPITAL GROUP
  • Location: Bristol, Connecticut
  • Salary: On Application
  • Sector: Accounting
  • Job Type: Permanent