Sr. Revenue Integrity Analyst - Atlanta, GA
5 hours ago
Job description
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Independently develops strategies, design solutions and establishes processes which contribute to team collaboration and department satisfaction. Focus on charge master set up and maintenance to comply with federal, state and hospital regulations in addition to monitoring charge activities and compliance. Identifies trends, collaboratively works with leadership to help improve the revenue cycle performance within the hospital and/or Ambulatory Clinics.
PRIMARY DUTIES AND RESPONSIBILITIES
- Reviews compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the Chargemaster.
- Autonomously educates Department Managers on compliance and coding regulations.
- Independently coordinates with Department Managers on new procedures being performed to assure the charges are set up appropriately and timely in the Chargemaster and the staff responsible for entering charges are educated.
- Coordinates the set-up of Chargemasters for new Departments.
- Assists in the development of Hospital System Policies relating to charge entry, price setting, and developing new charge item.
- Conducts audits to ensure all documented charges are captured appropriately and timely and performs audits to review the charges are being coded correctly.
- Coordinates with the business office to resolve any denial issues related to the Chargemaster.
- Provides guidance, support and mentoring to Revenue Integrity Analysts and Coding Analysts.
- Monitors revenue by trending, troubleshooting and analyzing data such as charge lag, late charges, denials and/or wRVU volumes.
- Collaborate with other Northside departments and leadership as it relates to the revenue cycle and betterment of Northside.
- Assists Revenue Integrity Coordinator in other projects and analyses.
REQUIRED
- B.S. degree in Nursing, Health Information Management, Healthcare Administration or Business Administration; or Associates Degree with 8 years of hospital charge master experience in lieu of a bachelor's degree.
- Must have a coding or nursing credential (RHIA, RHIT, CCS, RN) or a financial background.
- Must have minimum of 5 years hospital Charge master experience.
- Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
- Knowledge of Microsoft Office products.
- Self-Motivated leader with a collaborative mindset, driven to take initiative and build the department's reputation of quality service.
PREFERRED
- Three to five years Chargemaster experience in a hospital setting.
Similar jobs
Maintains the Chargemaster to comply with federal and state regulations and internal hospital policies. Implements continuous improvement in key revenue cycle functions while maintaining coding and billing compliance for the organization. · ...
1 month ago
Maintains Chargemaster to comply with federal regulations. Implements continuous improvement in key revenue cycle functions while maintaining coding compliance. · ...
1 week ago
Discover Your Career at Emory University: · Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic c ...
1 day ago
+Northside Hospital is award-winning, state-of-the-art, and continually growing. · +conducts routine analysis and modeling to assist in the prevention of recurring issues that can cause revenue leakage and/or compliance risks. · build analytical tools using healthcare industry st ...
1 month ago
· Overview · Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover ...
1 day ago
We are seeking a Workday HRIS Benefits Absence & Integrations Analyst to join our high-performing HRIS team at our corporate headquarters in Dunwoody GA This is a hands on role for someone who knows Workday benefits inside and out and wants to own Benefits Absence and Integration ...
1 month ago
· Company Description · ProSidian is looking for "Great People Who Lead" at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who sh ...
1 day ago
This role is a key part of Emory Digital's Growth Team, supporting business development and strategic growth across the enterprise. · As a member of the Growth Team, the Epic Analyst IV will be expected to successfully collaborate across multiple Digital teams to align strategies ...
1 week ago
· Overview · Be inspired. Be rewarded. Belong. At Emory Healthcare. · At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you ...
1 day ago
Alyn Inc. partners with Fortune 50 companies and top government agencies to enhance their Cybersecurity Operations programs. · The company is seeking an experienced candidate to serve as Cyber Threat Analyst in Atlanta, GA. · ...
4 weeks ago
+We are seeking an ETL/DWH Developer II for our Business Data and Technology Enablement (BDTE) team at Northside Hospital in Atlanta, GA. · +Develop, test, and maintain ETL workflows using IBM Infosphere Datastage for moderate complexity data integration tasks. · Implement data q ...
4 weeks ago
We are making long-term investments in a brand-new innovative Generative AI team. · Support the development of UI components and service integrations · Contribute to code reviews and testing procedures · ...
1 month ago
Come join our team as we seek to hire a leadership role for our Epic Cadence Analyst team. · ...
1 week ago
We are seeking a Compliance Auditor & Billing Analyst to join our team. The successful candidate will be responsible for performing data-driven coding and billing reviews, validating reimbursement accuracy, and assessing compliance with federal and state regulatory requirements. ...
3 weeks ago
The Business Analyst II – Data Analysis Focus plays a critical role in bridging the gap between business needs, data quality, and information systems across the enterprise. · This position is responsible for eliciting project requirements, analyzing business processes, and suppor ...
3 weeks ago
The HR Payroll Operations Specialist (Bilingual) supports daily HR and payroll operations across the U.S., Mexico, and Canada, · This role delivers hands‑on support for payroll tax activities, HRIS administration, and core HR transactions while partnering with cross‑functional te ...
1 week ago
This team is central to our vision of the future and the core of our business offering. · We will incorporate best-in-class engineering and product management principles, and your contribution will be critical to its success. ...
1 month ago
Faculty Physician Compensation Analyst, School of Medicine
Only for registered members
The Faculty Physician Compensation Analyst manipulates data, completes analyses and calculates physician performance relative to defined objectives and benchmarks. · ...
2 weeks ago
The Bioinformatics Analyst applies computational and statistical approaches to analyze high-dimensional biological data. Responsibilities include developing and implementing data processing pipelines. · ...
1 week ago
Emory University is seeking a Bioinformatics Analyst to apply computational and statistical approaches to analyze high-dimensional biological data. · ...
1 week ago