NorthBay Healthcare
Overview
At NorthBay Health, the Revenue Integrity Analyst manages and monitors revenue, charges, and revenue cycle processes for internal and external customers to meet established goals while adhering to federal and state regulations, payer policies, coding rules and guidelines. Applies independent analytical and problem‑solving skills and provides critical analytical and negotiation support related to third party payer reimbursement contracts. Works closely with analysts in other Revenue Cycle Management Departments to ensure effective workflow and processes. Maintains strong knowledge of accounts receivable policies and procedures. Evaluates, recommends, and assists with system solutions to automate accounts receivable management. Performs audits to ensure integrity, quality, and control over billing processes. Assists with training on information systems functionality and billing and coding practices. Responsibilities
Manage and monitor revenue, charges, and revenue cycle activities for internal and external customers to meet goals while complying with regulations and payer policies. Provide analytical and negotiation support related to payer reimbursement contracts. Collaborate with Revenue Cycle Management teams to ensure effective workflows and processes. Maintain knowledge of accounts receivable policies and procedures. Evaluate, recommend, and assist with implementing systems solutions to automate accounts receivable management. Conduct audits to ensure integrity, quality, and control of billing processes. Assist with training on information systems functionality and billing and coding practices. Qualifications
Education : Bachelor’s degree in business administration, healthcare administration, nursing or other related degree. Licensure : Coding certification (e.g., CPC, CCS, RHIA, RHIT) required. Experience : Minimum seven years of hospital business office experience, or three years of clinical patient care with two years of medical business office experience required. Two years of hospital Medicare billing/coding experience strongly preferred. Experience with interfaces required. Skills : Strong organizational and meeting facilitation skills; strong project management; ability to read and interpret regulatory information related to CDM data; proficient in MS Office (Excel, PowerPoint, Word, Access); knowledge of internet and government websites. Interpersonal Skills : Demonstrates NorthBay Health values; effective written communication; ability to work with diverse personnel in a team environment; ability to manage multiple priorities. Compensation
$50 to $65 per hour based on years of experience relevant to the duties of the role.
#J-18808-Ljbffr
At NorthBay Health, the Revenue Integrity Analyst manages and monitors revenue, charges, and revenue cycle processes for internal and external customers to meet established goals while adhering to federal and state regulations, payer policies, coding rules and guidelines. Applies independent analytical and problem‑solving skills and provides critical analytical and negotiation support related to third party payer reimbursement contracts. Works closely with analysts in other Revenue Cycle Management Departments to ensure effective workflow and processes. Maintains strong knowledge of accounts receivable policies and procedures. Evaluates, recommends, and assists with system solutions to automate accounts receivable management. Performs audits to ensure integrity, quality, and control over billing processes. Assists with training on information systems functionality and billing and coding practices. Responsibilities
Manage and monitor revenue, charges, and revenue cycle activities for internal and external customers to meet goals while complying with regulations and payer policies. Provide analytical and negotiation support related to payer reimbursement contracts. Collaborate with Revenue Cycle Management teams to ensure effective workflows and processes. Maintain knowledge of accounts receivable policies and procedures. Evaluate, recommend, and assist with implementing systems solutions to automate accounts receivable management. Conduct audits to ensure integrity, quality, and control of billing processes. Assist with training on information systems functionality and billing and coding practices. Qualifications
Education : Bachelor’s degree in business administration, healthcare administration, nursing or other related degree. Licensure : Coding certification (e.g., CPC, CCS, RHIA, RHIT) required. Experience : Minimum seven years of hospital business office experience, or three years of clinical patient care with two years of medical business office experience required. Two years of hospital Medicare billing/coding experience strongly preferred. Experience with interfaces required. Skills : Strong organizational and meeting facilitation skills; strong project management; ability to read and interpret regulatory information related to CDM data; proficient in MS Office (Excel, PowerPoint, Word, Access); knowledge of internet and government websites. Interpersonal Skills : Demonstrates NorthBay Health values; effective written communication; ability to work with diverse personnel in a team environment; ability to manage multiple priorities. Compensation
$50 to $65 per hour based on years of experience relevant to the duties of the role.
#J-18808-Ljbffr