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Revenue Integrity Analyst

Job Details

Location:
224 Santa Barbara Blvd, Cape Coral, FL 33991

Category:
Facility/Support Services

Type:
Full Time

Schedule:
Days

Job Ref:
93490

Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991

Department: Lee Professional Billing

Work Type: Full Time

Shift: Shift 1/8:00:00AM to 4:30:00AM

Minimum to Midpoint Pay Rate:$22.78 - $29.62 / hour

Summary

The Revenue Integrity Analyst position for Professional Billing will be involved in assisting the newly developed Revenue Integrity department in establishing guidelines for internal review processes and workflows. Those processes may include, but are not limited to, the following: Updating Professional Billing Commercial/Government 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. Must possess a positive can-do-attitude, be a dependable collaborator, have optimal organization and documentation skills. Professional communication ability 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.

Requirements

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/orHigh School Diploma or EquivalentRequired

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 RequiredArea of ExperienceRequired/
Preferred
and/or3 YearsHealthcareRequired

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

LicensesRequired/
Preferred
and/orNot Required

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferred
and/or

Additional Requirements

Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG

US:FL:Cape Coral

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Lee Health
is located in
Fort Myers/
Cape Coral,
Florida
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