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Baptist Memorial
Collierville
Summary Coordinates with physicians, physician office staff, ancillary departments and surgery staff to provide a patient focused environment. Provides coordination of surgery case flow by following established scheduling procedures and protocols. Performs clerically assigned support activities. Performs other duties as assigned. Responsibilities +
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Provides analytical support for the Corporation through reporting and interpretation of healthcare data. Responsibilities + Provides analytical support related to reimbursement to all levels of the organization. + Assists hospital Business Offices in working payment variances in a timely manner. + Assists with month end close process for Ma
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare (Epic). Perform workflow assessments, capture business needs and analyze internal business system to determine functional requirements for optimal utilization. Possess in-depth clinical, financial, technical or application knowledge and experien
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market conditions and the managed ca
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare (Epic). Perform workflow assessments, capture business needs and analyze internal business system to determine functional requirements for optimal utilization. Possess clinical, financial, technical or application knowledge and experience. Perfo
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe qual
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare (Epic). Perform workflow assessments, capture business needs and analyze internal business system to determine functional requirements for optimal utilization. Possess clinical, financial, technical or application knowledge and experience. Perfo
Job Source: Baptist MemorialBaptist Memorial
Memphis
Summary Perform the installation, configuration, administration, and maintenance of networks and computer systems with Microsoft Windows operating systems. Set up user accounts on organization's servers. Run necessary system backups. Provide technical support and troubleshoot problems on local area networks (LAN) and data networks using Microsoft o
Job Source: Baptist MemorialMemphis
Summary
Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role requires extensive knowledge of Medicare Integrated Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and quarterly Revenue Code additions, changes, and deletions.
Accountable for assigned and delegated reports and completion from senior leadership and/or department director. Assist the Revenue Integrity Coordinator to ensure consistency in delivering services efficiently, timely, and great quality to all hospitals and BMH entities. Assist the Revenue Integrity Coordinator to ensure the integrity of the processes and that federal and state compliance is met in regards to charging and billing practices for healthcare services. Strives to reach and maintain department goals at the highest standard in all areas of responsibility, task, and patient satisfaction as set by Administration and Corporate expectation. Takes initiatives to improve processes, strives for positive customer outcomes. Leads by example.
Responsible for all shifts, 7 days/week, 24 hours/day.
Responsibilities
+ The revenue integrity analyst will work throughout the organization with all types of departments to ensure the implementation of any newly implemented workflows and procedures to assure accurate charge processes are maintained, and achieving the organization's financial goals.
+ Has joint ownership of assigned account and claim edit work queues, clinical departments and continually coordinates between administrative and clinical operations staff to ensure accounts have the correct coding, billing, payment and charge captures.
+ Serves a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance based upon regulatory, coding, and billing guidelines by payer.
+ Review patient medical records for charge capture and resolution of charge department billing edits in conjunction with reviewing clinical documentation to validate missing charges.
+ Demonstrates Service First characteristics to all. Sets example for department and other hospital personnel. Identifies opportunities for improvement resulting in enhanced service and customer satisfaction.
+ Performs related accountabilities/responsibilities as required or directed without complaint.
Requirements, Preferences and Experience
Experience
Description
Minimum Required
Preferred/Desired
A minimum of 3 years in the healthcare industry with a working knowledge of hospital and/or physician revenue cycle functions.
A minimum of 6 years in the healthcare industry with a working knowledge of hospital and/or physician revenue cycle functions.
Education
Description
Minimum Required
Preferred/Desired
Associate Degree or equivalent combination of experience and education.
Bachelor's degree in Health Information Management or Nursing.
Training
Description
Minimum Required
Preferred/Desired
Working knowledge of current medicare, medicaid, and other regulatory IPPS/OPPS guidelines and requirements; nThrive Knowledge Source application; Working knowledge of Microsoft Office products. Attention to Excel application; Knowledge of the different types of clinical settings; Knowledge of facility and professional billing claim forms, fields, and values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations.
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
+ Competitive salaries
+ Paid vacation/time off
+ Continuing education opportunities
+ Generous retirement plan
+ Health insurance, including dental and vision
+ Sick leave
+ Service awards
+ Free parking
+ Short-term disability
+ Life insurance
+ Health care and dependent care spending accounts
+ Education assistance/continuing education
+ Employee referral program
Job Summary:
Position: 10252 - Analyst-Revenue Integrity
Facility: BMHCC Corporate Office
Department: HS Revenue Process & Analysis Corporate
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area REQNUMBER: 21828
Email Alert for Analyst-Revenue Integrity - HS Revenue Process & Analysis Corporate_ jobs in Memphis
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