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Job Description The Opportunity: This is a tele-commuting position with a requirement to live in the Kansas City metro area due to some travel to area clinics as needed. The Revenue Integrity Analyst is responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Revenue Integrity Analyst works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition this role monitors and analyzes coding performance at the section and business unit levels. The Revenue Integrity Analyst serves as the liaison between revenue cycle operations IT and finance as it relates to charge capture documentation and reconciliation and possesses a clear understanding of the physician revenue cycle. The Analyst oversees understands and communicates departmental charging processes including the CDM charge linkages to the CDM and charging processes. The Analyst analyzes and communicates denial trends to providers and operational leaders. This position requires advanced knowledge in coding, auditing, and documentation guidelines. CPC or CCS and CPMA or CEMA is required. This position is a part of the Revenue Integrity Department and provides support to departments within the Revenue Cycle. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. This position is an exempt position. RIA would need to be available M-F during business hours. This is a telecommuting position, offers career ladder advancement opportunities, and includes a bonus program. 3 years’ experience as a coder and 2 years of experience in auditing/chart reviews. Revenue Integrity Objective: Support Physicians, APPs and other billable providers by providing education on documentation and coding to the highest level of service being rendered. Serves throughout the revenue cycle, operations, and IT as it relates to charge capture, charge accuracy, documentation, denial prevention, and charge reconciliation while maximizing revenue and compliance. 1. Analyze and conduct regularly scheduled chart audits and education for Physicians, APPs and other billable providers by evaluating education needs from audit results as outlined in our policies. 2. Analyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs. Participate in facilitation of the process from time it is received to completion of request. 3. Responsible for research and communication on regulatory requirements and payor policies that impact charging and reimbursement for the areas assigned. 4. Identify education and improvement opportunities for accuracy, outliers and missed revenue by utilizing data such as: revenue, RVUs, denials, CPTs by specialty, lag days in documentation to provide education to operational leaders and Physicians, APPs and other billable providers. 5. Train departments on charge reconciliation. Monitor to ensure the charge reconciliation is happening in the areas assigned. 6. Monitor open encounters to ensure the chart is closing within the guidelines of the policies. 7. Educate Physicians, APPs and other billable providers, practice leaders and revenue cycle on annual coding updates and drive necessary EPIC revisions. Work with leadership to roll out new codes as applicable and timely. 8. Analyze and ensure codes dropping are correct for all services rendered outside of that coded by HIM. 9. Support operational leaders on efforts and initiatives related to charge capture, documentation, and reimbursement items. 10. Collaborate with other departments (MILs, CDI, CDS, HIM, Charge Mgmt) and vendors to research where shared responsibilities for coding alignment or impact is needed. Why Saint Luke’s? We are dedicated to innovation and always looking for ways to improve. We offer a Career Advancement Program to expand your skills and grow your career. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals. Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more. Job Requirements Applicable Experience: 3-5 years Bachelor's Degree Job Details Full Time Day (United States of America) Saint Luke’s Health System includes 18 hospitals and campuses across the Kansas City region, home care and hospice, behavioral health care, dozens of physician practices, a life care senior living community, and more. Find out more about what Saint Luke’s offers: http://www.saintlukeskc.org/about-saint-lukes Are you interested in staying up to date on openings at Saint Luke’s Health System? Simply sign up for job alerts at https://careers.saintlukeskc.org/job-alerts When we have opportunities that meet your interests, you will receive an email with the job details. Saint Luke’s Health System values our employees and we encourage them to apply to any internal openings. If you are a current Saint Luke's Health System employee, please apply through your Workday account by typing "Find Jobs" in the top left corner search bar. You can also follow the link below to the current internal career site to apply. http://www.myworkday.com/saintlukes/d/task/1422$1011.htmld
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System Offices
Revenue Integrity Analyst.
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