Revenue Cycle Analyst Job Jacksonville area,Florida USA,Healthcare

Overview

Serves as the resident dynamic coding analyst in order to maintain a high coding standard within the department. Organizes and plans projects to improve the effectiveness of dynamic coding that crosses interdepartmental lines. Performs analysis for dynamic coding improvement to include PFS systems edits and coding validation related to CDM (CPT/HCPCS code applications) and other processes which affect reimbursement and the CDM.

Assists in focused investigations and/or facilitates communication and cooperation to enhance the charging processes. Educates departments on appropriate charging/billing/coding issues to ensure regulatory compliance. Serves as a resource for special projects for the analysis of data elements.

Responsibilities

ECESSARY

SKILLS:

Extensive knowledge in CPT and HCPCS coding, third party billing and reimbursement.

Ability to interpret and apply regulations and information obtained from various State and Federal sources.

Ability to explain to appropriate personnel how their charge masters translate into codes that translate into reimbursement.

Proficient in Excel spreadsheets and Word processing applications.

Ability to work independently and use good judgment when making decisions/recommendations regarding changes/additions and/or corrections to the charge master.

Must be considered a resource to all departments regarding charge items/services/procedures.

Qualifications Required Education

High School Diploma or GED

Preferred Education

Associate’s degree (A.A.) or field-specific certifications as required by the department

Required

Licensure/Certification s

Must hold one of the following:

Certified Professional Coder (CPC)
Certified Professional Coder – Hospital Outpatient (CPC-H)
Certified Outpatient Coder (COC)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)

Preferred

Licensure/Certification s

None

Required Experience

One (1) to two (2) years of healthcare coding experience

Preferred Experience

Business orientation with an understanding of charge capture systems and processes
Understanding of current facility systems
Knowledge of hospital operations, departmental charge capture, revenue cycle services, and CMS regulations

Additional Requirements

Working knowledge of specific departmental procedures as required by the supervisor

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