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Revenue Integrity Analyst

Company: Aerotek
Location: Durham
Posted on: January 15, 2022

Job Description:

Description:Responsible for conducting quality control audits to ensure data/documentation integrity, and communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits within the operational units. (20%)Serves as Subject Matter Expert to leadership on issues related to Revenue Integrity (external medical audit request). (10%)Compile information and/or prepare reports and analyses setting forth results of data integrity findings with appropriate recommendations; perform prospective audits to ensure complete and appropriate corrective action. (20%)Follow up with appropriate health team members to ensure accurate and complete documentation in the medical record. Works collaboratively with the appropriate operational leaders to develop provider and service line education strategies to promote complete and accurate clinical documentation; using root cause analysis to correct negative trends, behaviors and able to impart this knowledge to provider and other health team members. (20%)Review charges and payments for accuracy from contracted payers and management of appeals process with each assigned payer, in both the hospital and clinic setting. Provides critical analytical and negotiation on behalf of DUHS with respect to third party payer reimbursement contracts. (20%)Perform other related duties incidental to the work described herein. (10%)Skills:epic, adobe, coding, cpc, medical coding, revenue cycle, revenue analysis, medical records management, emr, electronic health record, healthcare claim, healthcare industryTop Skills Details:epic,adobeAdditional Skills & Qualifications:Education: Bachelor's degree in business administration, accounting, management, healthcare administration, nursing or other related degree. Coding certification (e.g. CCS, RHIA, RHIT) or applicable experience is preferred. Nursing strongly preferred.________________________________________Knowledge, Skills, and Abilities: In-depth knowledge of Medicare/Medicaid regulations, including billing, coding and documentation requirements. Strong oral and written communication skills. Research oriented with ability to critically analyze and reason large amounts of dataExperience Level:Expert LevelAbout Aston Carter: At Aston Carter, were dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients capabilities by seeking solvers and delivering solutions to address todays workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aerotek, Durham , Revenue Integrity Analyst, Professions , Durham, North Carolina

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