Revenue Integrity Analyst
Location: Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Lee Professional Billing
Work Type: Full Time
Shift: Shift 1/7:30:00 AM to 3:30:00 PM
Minimum to Midpoint Pay Rate: $22.78 - $29.62 / hour
Summary
Assists the newly developing Revenue Integrity department in establishing set guidelines for internal review processes and workflows. Those processes may include but are not limited to the following: Updating Professional Billing Commercial Payer contracts, establishing a variance workflow to capture under payments and assuring through contract review that our contracts loaded in the Epic system are calculating based on contract language expected reimbursement amounts. Assisting as a back-up to our Charge and Credentialing teams with review of potential charge and/or credentialing WQs, Charge Audits, and System Issue identification. The potential candidate must possess a positive can-do-attitude, be a dependable team player, must have optimal organization and documentation skills. Professional communication ability is required both verbally and written. Experience with Professional Billing, Coding and Reimbursement and Payer Contracts is a plus. A firm understanding of our governmental payers such as Medicare and Medicaid is a necessity.
RequirementsEducational Requirements
| Degree/Diploma Obtained | Program of Study | Required/ Preferred | and/or |
| High School Diploma or Equivalent | Required |
Additional Requirements
Prefer Bachelor Degree or higher formal education, 2 years formal education post high school in clinical, financial, or coding program.Experience Requirements
| Minimum Years Required | Area of Experience | Required/ Preferred | and/or |
| 3 Years | Healthcare | Required |
Additional Requirements
3 experience in healthcare-related field, in hospital billing, coding and/or charging/reimbursement-related capacity. Additional clinical experience in related field a plus.State of Florida Licensure Requirements
| Licenses | Required/ Preferred | and/or |
| Not Required |
Certifications/Registration Requirements
Certificates/Registrations Required/
Preferred
Additional Requirements
Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRGUS:FL:Cape Coral
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