Texas Children's Hospital
Overview
We’re looking for a Revenue Integrity Analyst, someone who’s ready to grow with our company. In this position you will lead, manage, and/or participate in all Revenue Integrity related projects as assigned by the Director. This incumbent is also responsible for leading and/or supervising initiatives to improve or optimize efficiency while serving both internal and external customers. Job Duties & Responsibilities
Edit and exception resolution. Resolves or coordinates the resolution of charge session edits including DNB, revenue guardian edits, denials, and audits on a timely basis. Apply coding, payer and charge capture conventions to compliantly resolve edits. Identifies opportunities for capturing additional revenue in accordance with payer guidelines. Keeps edits and exceptions within targets as assigned by leadership. Coordinates efforts for resolution with all Revenue Cycle Departments as appropriate. Communicates with clinical departments, when needed, to assist in edit resolution. Evaluates edits to determine potential opportunities for automated resolution. Maintains high productivity and quality with minimal supervision over assigned work queues. Develops measures to track, trend, and monitor charge sessions and account resolutions, including audits and denials. Provides consistent and clear feedback to the Revenue Integrity Team, Revenue Cycle Counterparts, and Hospital Operations and Providers. Track and trend defense audits. Identify and monitor departments with charge capture and denial issues and develop processes for improvement. Serve as the contact and advocate to assigned Service Line leadership for all revenue cycle processes and workflows. Skills & Requirements
Required H.S. Diploma or GED. HSD must be accompanied by a certification or bachelor's degree. Required Certifications (must hold one of the following): CHRI, CRCR, CHFP, CSAF, CPC, RHIA, RHIT, CCS, CCS-P, COC (see list for full titles). Required 4 years Revenue Cycle experience, including but not limited to Revenue Integrity, Billing, Coding, Denials, Follow-Up, Patient Accounts, and/or Refunds experience. About Us
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s comprehensive health care network includes multiple facilities and programs. We are affiliated with Baylor College of Medicine and are committed to delivering exceptional care and services. Equal Opportunity
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions without regard to disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected status unrelated to the performance of the work involved.
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We’re looking for a Revenue Integrity Analyst, someone who’s ready to grow with our company. In this position you will lead, manage, and/or participate in all Revenue Integrity related projects as assigned by the Director. This incumbent is also responsible for leading and/or supervising initiatives to improve or optimize efficiency while serving both internal and external customers. Job Duties & Responsibilities
Edit and exception resolution. Resolves or coordinates the resolution of charge session edits including DNB, revenue guardian edits, denials, and audits on a timely basis. Apply coding, payer and charge capture conventions to compliantly resolve edits. Identifies opportunities for capturing additional revenue in accordance with payer guidelines. Keeps edits and exceptions within targets as assigned by leadership. Coordinates efforts for resolution with all Revenue Cycle Departments as appropriate. Communicates with clinical departments, when needed, to assist in edit resolution. Evaluates edits to determine potential opportunities for automated resolution. Maintains high productivity and quality with minimal supervision over assigned work queues. Develops measures to track, trend, and monitor charge sessions and account resolutions, including audits and denials. Provides consistent and clear feedback to the Revenue Integrity Team, Revenue Cycle Counterparts, and Hospital Operations and Providers. Track and trend defense audits. Identify and monitor departments with charge capture and denial issues and develop processes for improvement. Serve as the contact and advocate to assigned Service Line leadership for all revenue cycle processes and workflows. Skills & Requirements
Required H.S. Diploma or GED. HSD must be accompanied by a certification or bachelor's degree. Required Certifications (must hold one of the following): CHRI, CRCR, CHFP, CSAF, CPC, RHIA, RHIT, CCS, CCS-P, COC (see list for full titles). Required 4 years Revenue Cycle experience, including but not limited to Revenue Integrity, Billing, Coding, Denials, Follow-Up, Patient Accounts, and/or Refunds experience. About Us
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s comprehensive health care network includes multiple facilities and programs. We are affiliated with Baylor College of Medicine and are committed to delivering exceptional care and services. Equal Opportunity
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions without regard to disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected status unrelated to the performance of the work involved.
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