Location: Albany,NY, USA
Employment Type:
Full time
Shift:
Day Shift
Description:
Revenue Integrity Recovery Coordinator - St. Peter's Hospital - FT Days
If you are looking for a full-time position, this could be your opportunity. Here at St. Peter's Health Partners, we care for more people in more places.
Position Highlights:
* Recognized leader: Magnet Hospital in the Capital Region
* Quality of Life: Where career opportunities and quality of life converge
* Advancement: Strong orientation program, generous tuition allowance and career development
What you will do:
Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention.
Responsibilities:
* Develops and implements action plans for denial prevention based on root cause analysis findings.
* Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines.
* Responsible for working complex denial coordination with intra-team members to identify root cause.
* Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis.
* Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided.
* Completes assigned reports timely and accurately.
* May be required to travel between locations within the Region.
What you will need:
* Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field
* 5 or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities
* Must possess a demonstrated knowledge of clinical processes; charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing
* Knowledge of Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits and Discharged Note Final Billed
Pay Range: $30-$43.50
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.