MSK, cunoscută și sub numele de Multi Services Kent, este o companie britanică de servicii pentru șantiere, care sprijină proiectele de construcții și are peste 20 de ani de experiență. Activitatea sa include logistica pe șantier, lucrări de dezafectare și amenajare, protecție, securitate și controlul accesului, gestionarea și reciclarea deșeurilor, consolidarea transporturilor feroviare, utilaje și scule, precum și asistență în etapa de preconstrucție. Abordarea companiei îmbină coordonarea practică pe șantier cu accentul pe siguranță, sustenabilitate și valoare socială.
Revenue Integrity Analyst II
Support accurate coding, charge capture, and compliant billing at Memorial Sloan Kettering Cancer Center. Identify reimbursement risks and strengthen healthcare revenue cycle workflows.
Descriere
- Act as a subject matter expert in revenue integrity, charge capture, diagnostic coding, and billing compliance.
- Review Charge Description Master records for coding accuracy, compliance, and integrity.
- Investigate coding and charging discrepancies, determine their causes, and implement corrective actions.
- Manage Revenue Integrity tickets involving coding edits, charge capture, CDM maintenance, and billing discrepancies.
- Work with Radiology and Pathology coding teams to apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS guidelines.
- Assess Epic work queues, coding edits, and charge review reports to find reimbursement risks and revenue leakage.
- Coordinate with Revenue Operations, HIM, Billing, and Clinical teams on coding updates and regulatory changes.
- Train clinical and operational stakeholders in coding, charge capture, documentation, and compliant billing.
- Share audit findings, revenue integrity trends, and process improvement recommendations with leaders and governance committees.
- Report to the Director of Revenue Integrity.
Cerințe
- Bachelor's degree, or an equivalent combination of education and relevant healthcare revenue cycle experience.
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, charge capture processes, and billing compliance requirements, particularly LCD/NCD regulations.
- Professional coding certification required or strongly preferred, such as CPC, COC, CCS, RHIA, or RHIT.
- Experience working with coding, HIM, revenue cycle, finance, and clinical teams in a complex healthcare environment.
- Experience analyzing coding edits, denials, charge reconciliation issues, and reimbursement impacts.
- Epic experience and familiarity with revenue cycle applications, coding work queues, and charge review tools preferred.
- Advanced analytical skills.
- Strong understanding of healthcare reimbursement methods, coding regulations, and revenue cycle operations.
- Ability to explain complex coding and revenue integrity concepts clearly.
- Ability to lead coding education, training, and audit feedback sessions.
- Strong organizational, problem-solving, and cross-functional collaboration skills.