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Duke Careers
Duke Careers
KonsultavimasSveikatos priežiūraŠvietimas
„Duke Careers“ yra su Duke’o universitetu susieta platforma, kurioje pateikiami ištekliai, pasakojimai ir interviu, pristatantys institucijos istoriją, pasiekimus ir ateities kryptį. 1924 m. įkurta platforma skatina ryšį su Duke’o absolventais ir platesne bendruomene, taip pat nagrinėja švietimo ir lyderystės poveikį švietimo, sveikatos priežiūros ir konsultavimo srityse.
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Darbai įmonėje

Revenue Integrity Analyst

Support Duke Health’s revenue cycle by improving charge capture, documentation, and payer compliance. Review Epic Revenue Guardian edits, audit accounts, analyze trends, and manage appeals.

USJungtinės ValstijosNCŠiaurės KarolinaNuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAnalitikas

Aprašymas

  • Contribute to revenue integrity and charge capture initiatives on Duke Health’s Charge Description Master team
  • Review pre-bill accounts flagged by Epic Revenue Guardian edits
  • Add missing hospital charges using supporting medical records
  • Assess charge capture opportunities and determine appropriate corrections
  • Develop approaches for new Revenue Guardian edits to help prevent revenue leakage
  • Analyze third-party payer reimbursement and contract compliance
  • Audit data and documentation for quality and accuracy
  • Track accounts flagged by Revenue Guardian edits and prepare department-level findings for education
  • Advise leaders on revenue integrity matters as a subject matter expert
  • Create monthly reports and educational presentations for clinical departments and Revenue Manager teams
  • Analyze trends to assess documentation improvement and charge capture efforts
  • Follow up with health team members to ensure medical records are complete and accurate
  • Work with operational leaders to plan education for providers and service lines
  • Use root cause analysis to address adverse trends and behaviors
  • Check contracted-payer charges and payments, and handle appeals
  • Use reporting tools to identify revenue opportunities
  • Handle other related duties

Reikalavimai

  • Bachelor’s degree in business administration, accounting, management, healthcare administration, nursing, or a related field
  • Three years of coding-related experience
  • Coding certification such as CPC, CCS, RHIA, or RHIT
  • Detailed knowledge of Medicare and Medicaid billing, coding, and documentation rules
  • Revenue cycle experience
  • Strong written and verbal communication skills
  • Research mindset and ability to critically assess and reason through large data sets
  • Charge capture, reporting, and analysis experience preferred

Privalumai

  • Equal opportunity employer
  • Emphasizes collaboration, innovation, creativity, and belonging
  • Reasonable accommodations are available upon request

Susiję darbai

Modivcare

Remote Compensation Analyst II at Modivcare

Modivcare
H1B vizos rėmėjasSveikatos draudimasSveikatos priežiūraTransportas
USJungtinės Valstijos
90 000 $ – 105 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAnalitikas

Administer compensation programs, surveys, audits, and incentive planning for Modivcare’s healthcare transportation business. Maintain accurate compensation data and reporting across HR, Payroll, Finance, and HRIS systems.

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