Revenue Integrity Analyst II - Remote

Tenet Healthcare Corporation Frisco , TX 75034

Posted 2 months ago

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Working knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.

  • Working knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.

  • Working knowledge of the content and application of published health information management coding conventions, e.g., as referenced in "Coding Clinics" and/or other nationally recognized coding guidelines.

  • Working knowledge of CMS guidelines

  • Ability to recognize research and correct charging/documentation discrepancies.

  • Working knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.

  • Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.

  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.

  • Ability to establish and maintain effective working relationships as required by the duties of the position.

  • Working knowledge of CPT/HCPCS codes, revenue codes

  • Ability to interpret a variety of state and federal regulations and determine effect on CDM and claims production

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

  • High School graduate or equivalent required.

  • Experience Required: 3-5 years of healthcare-related experience

  • College degree preferred.

  • Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, COC, CPC, CCS highly desirable

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work in sitting position, use computer and answer telephone

  • Ability to travel*

  • Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Conifer Health Solutions


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Revenue Integrity Analyst II - Remote

Tenet Healthcare Corporation