Beth Israel Lahey Health este un sistem de servicii medicale care deservește comunități din Massachusetts și New Hampshire prin spitale, centre de îngrijire specializată și o rețea extinsă de servicii clinice. Portofoliul său de servicii include urgențe, îngrijire primară și urgentă, ortopedie, sănătate mintală, servicii de farmacie și îngrijire la domiciliu, sprijinind pacienții în diferite etape și pentru nevoi diverse.
Cu 39.000 de membri ai echipei, Beth Israel Lahey Health îmbină îngrijirea pacienților cu cercetarea medicală și educația. Activitățile sale din domeniul serviciilor medicale și al asigurărilor de sănătate reflectă preocuparea pentru îmbunătățirea sănătății comunităților, oferind în același timp îngrijire coordonată și personalizată.
Revenue Integrity Analyst
Support Beth Israel Lahey Health’s professional and hospital revenue capture by improving billing workflows and monitoring reimbursement compliance. The role works with Epic systems, chargemaster data, reporting, and revenue cycle teams.
Descriere
- Support revenue cycle operations across professional service locations, hospital facilities, billing teams, Epic analysts, and finance and revenue cycle leaders.
- Represent Patient Financial Services at cross-departmental, finance, and revenue cycle meetings, both onsite and offsite.
- Review charge capture workflows and recommend ways to improve professional and facility revenue capture.
- Assess payer policy, regulatory, and contract changes; communicate findings and draft related internal controls and operational updates.
- Monitor and analyze revenue, late charge, WQ, Revenue Guardian, Charge Review, Router Review, and Claim Edit reports.
- Coordinate with Epic analysts on charge capture modules, software upgrades, testing, and implementation.
- Prepare and maintain departmental productivity reports.
- Help develop, implement, train, maintain, and report on revenue capture initiatives.
- Stay current on new healthcare services and chargemaster policies, and conduct internal audits.
- Develop and maintain electronic revenue capture systems, downtime encounter forms, and charge preference lists.
- Track coding, billing, reimbursement rules, regulations, and guidelines; update Epic and notify leadership of significant changes.
- Contribute to complex revenue initiatives, audits, fraud or abuse investigations, and senior leadership projects.
- Develop, track, and report monthly and annual KPI dashboard data.
- Find improvement opportunities in clinical orders, documentation, and preference lists; recommend updates and create Epic remedy tickets.
Cerințe
- Associate degree, preferably in business or finance. Without a degree, four additional years of healthcare revenue cycle experience beyond the five years specified below are required.
- Epic proficiency or certification in Charge Description Master.
- At least two years of healthcare revenue cycle experience.
- Broad working knowledge of medical and hospital billing practices, billing software, health insurance, and CMS regulations.
- Knowledge of CPT, HCPCS, and ICD-10 coding principles.
- Knowledge of Epic or related hospital ADT or billing software.
- Proficiency entering data on a PC and in electronic systems.
- Ability to read, analyze, and interpret financial reports.
- Ability to define problems, gather data, establish facts, draw conclusions, and make sound recommendations.
- Ability to analyze information, think creatively, and weigh alternatives.
- Attention to detail, strong organizational skills, ability to multitask, and proficiency in Excel.
- Must receive an influenza vaccination as a condition of employment.
Beneficii
- Influenza vaccination is required as a condition of employment.
- Potential shift differentials, call pay, premium pay, and overtime pay, where applicable.