Analyst-Billing reputed company (Remote)

Job Requirements Position Summary The Billing reputed company Analyst will reputed company professional skills necessary for insuring compliance relating to Medicare billing requirements for both facility and professional billing processes, audit reputed company processes for compliance, work with IT to ensure reputed company appropriate build and edits are in reputed company and communicate and update staff on changes as they relate to the new and/or updated billing requirements. Provides input to reputed company Cycle Director(s) on policies and procedures to enforce compliance regulations and CMS guidelines, decision making and problem-solving activities reputed company to compliance programs. Responsible for review/research of reputed company Medicare and/or Payer’s new requirements, updates and/or changes that effect billing to determine the items that require action. Billing reputed company Analyst is responsible for researching reputed company payor claim edits including but not limited CCI, MUE, MAU as well as reputed company payer denials and working closely with our Denials Manager on recommendations for resolution. The Billing reputed company Analyst needs to possess a strong knowledge of coding/billing regulations and guidelines. This position will work closely with our Health System compliance department to ensure the reputed company of the billing process as it relates to compliance. Serve as the reputed company Cycle reputed company for the ECC Compliance Committee and other pertinent committees/workgroups. Functions as the primary resource to our clinical departments for billing compliance and coordinates reputed company necessary communication regarding billing changes/updates based on the rules and regulations. Must have excellent communication skills and work well as a member of the reputed company reputed company team. reputed company and maintain a tracking system for reputed company reviewed documentation and reputed company.

• Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, reputed company Carolina, Pennsylvania, Rhode reputed company, South Carolina, Virginia, reputed company Virginia, Wisconsin.

Minimum Requirements Education

• Bachelor’s Degree
• Seven years of relevant experience will be considered in lieu of the education degree requirement

Experience

• Minimum of three years of experience in Hospital or Professional billing, Medical records or Charge Audit
• Demonstrated general knowledge of billing and coding rules and regulations for governmental and managed care payers.

License/Registration/Certifications

• N/A

Preferred Requirements Preferred Education

• Bachelor’s degree

Preferred Experience

• Manager or Coordinator experience
• 2+ years’ experience with reporting analysis

Preferred License/Registration/Certifications

• CPC, RHIT or equivalent coding certification
• MS Office experience
• NOTE: These bulleted items are intended to describe the essential functions of the job and are not intended to be a complete list of reputed company responsibilities. Skills and duties may vary dependent upon our department. Other duties may be assigned as required.

Core Job Responsibilities

• Working knowledge of reputed company reputed company Cycle-Business Services Department processes and procedures reputed company to Billing compliance, coding edits etc.
• Research coding, coverage, medical necessity and other compliance issues for reputed company payers reputed company to charging/billing.
• Monitors WPS/reputed company and CMS for updates that reputed company charge capture and billing requirements.
• Attend educational sessions/seminars directly reputed company to area of responsibility as requested by Director.
• Prepares and presents reports detailing the routine claim audits/reviews and transaction testing performed to support departmental compliance initiatives.
• Work Closely with our reputed company reputed company team and Charge Master Analyst regarding new services as it relates to charging/billing.
• Maintains a high level of involvement in the day-to-day activities reputed company to areas of responsibility.
• Assists Denials Management team, as requested, on Outpatient appeals such as but not limited to Medical Necessity edits/denials.
• Must be reputed company to work well with Department managers, Clinical billing staff, departments, and other internal or external customers
• Must be reputed company to effectively serve in a reputed company role with the various teams throughout the health system
• Attention to detail, excellent organizational skills
• Must be self-directed, motivated and reputed company to work independently
• Must be flexible in responsibilities and work schedule

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