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Summa Health

Revenue Integrity Analyst, Revenue Cycle

Summa Health, Cleveland, Ohio, us, 44101

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Overview

Revenue Integrity Analyst, Revenue Cycle Summa's Corporate Office, 1077 Gorge Blvd, Akron, OH. Summa Health System is recognized as one of the region’s top employers by third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families, commitment to servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary

Provides support and insight into Revenue Cycle processes including front-end avoidable denials, charge capture/reconciliation, report trending and analytics, training/education as needed. Responsible for the overall timely and accurate capture of patient service revenue, participates or works with Revenue Integrity Coordinator for the development or maintenance of the Charge Description Master (CDM). Focus on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all clinical charging departments to ensure clear communication and a collaborative approach to implementing best practice processes. Serving as liaison, this position is responsible for monitoring and communicating current regulations and reporting requirements as set by government or other payers, and ensuring any changes are properly implemented through project oversight. Responsibilities

Provide support and insight into Revenue Cycle processes including front-end avoidable denials, charge capture/reconciliation, report trending and analytics, training/education as needed. Responsible for the overall timely and accurate capture of patient service revenue, participate with the Revenue Integrity Coordinator for the development or maintenance of the CDM. Focus on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. Maintain a good working relationship with all clinical charging departments to ensure clear communication and a collaborative approach to implementing best practice processes. Monitor and communicate current regulations and reporting requirements as set by government or other payers, and ensure changes are properly implemented through project oversight. Minimum Qualifications

Bachelor’s degree in Business Administration, Health Services, Finance or closely related field, or the equivalent in training and experience. Three (3) years related professional/business experience in a technical/financial healthcare environment, including demonstrated experience in utilization of Epic and leadership skills. Licenses/Certifications: Certification as a medical coder through AHIMA (CCS, CCS-P) or through AAPC (CPC-H) and/or Certification as a Revenue Cycle Integrity Professional (CRIP) – preferred. Knowledgeable of charging and billing best practices; solid computer skills including Microsoft Office (Word, Excel, Access, PowerPoint); strong communication and customer service skills; ability to analyze and identify sources of problems, provide practical solutions, and negotiate resolutions. Ability to make independent business decisions, streamline processes for efficiency, and possess strong analytical and general business acumen. Strong understanding of DRG and CPT/HCPCS Medical Coding and Medical Terminology; basic understanding of Accounting Principles and Hospital Financial Reporting. Level of Physical Demands: Sedentary work; Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Compensation & Benefits

Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location, are considered when determining the starting rate of pay. We believe in pay equity and internal equity of our current team members when determining offers. The listed range is the full base salary range; hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program including medical, dental, vision, life, paid time off and additional benefits.

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