Catholic Health Initiatives REVENUE CYCLE INTEGRITY ANALYST - Service Center - FT Days in OMAHA, Nebraska
REVENUE CYCLE INTEGRITY ANALYST - Service Center - FT Days
CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 15 hospitals, two stand-alone behavioral health facilities and more than 150 employed physician practice locations in Nebraska and southwestern Iowa. More than 12,000 employees comprise the workforce of this network that includes 2,820 licensed beds and serves as the primary teaching partner of Creighton University’s health sciences schools. In fiscal year 2014, the organization provided a combined $149.3 million in quantified community benefit including services for the poor, free clinics, education and research. With locations stretching from Kearney, Neb. to Missouri Valley, Iowa, the health network is the largest in Nebraska and serves residents of Nebraska and southwest Iowa. For more information, visit online at CHIhealth.com.
ESSENTIAL JOB RESPONSIBILITIES
Review and update practice management system edits (Epic, Allscripts/PPMS, NextGen) to assure system integrity. Escalating and follow-up of issues to appropriate teams.
Primary resource for with the development of documentation templates and assignment of correct CPT/diagnosis codes to orders; assure maximization of revenue and federal/state and payer regulations are met.
Analyzes and interprets data to assist with the implementation of solutions for process, quality and procedural improvements within the Enterprise Revenue Cycle by understanding Enterprise Revenue Cycle operations, processes, systems, regulations, clinical practice, payer changes and data.
Participates in the design, development, testing, implementation, training and maintenance of new business process and system applications with Systems Services staff; coordinating operational input and resources.
Assure the regular/annual system updates are completed timely and accurately in the practice management system (s); CPT, Diagnosis Codes, HCPCS, unlisted codes, etc.
Required Education and Licensure
- CCS-P or CPC certification required
Required Minimum Experience
Experience working in an electronic medical records and practice managements systems; 2 years’ experience preferred
Minimum 3 years related healthcare work experience (including data management and analysis)
Bona Fide Occupational Qualifications (BFOQs)
- List as applicable or N/A if no BFOQs exist
- Bachelor’s degree in Healthcare Administration, Business, Finance or related field preferred
Minimum Knowledge, Skills, and Abilities
Demonstrated ability to set and maintain multiple priorities in an environment with shifting priorities, while providing accurate deliverables in a timely fashion
Must be self-motivated, and able to take ownership of projects/assignments
Must be a team player with excellent follow-up and customer service skills
Strong interpersonal, verbal, and writing skills
Interpersonal skills in dealing with guests and team members
Extensive working knowledge of physician billing systems for governmental, managed care, and commercial payers.
Working knowledge of Allscripts, NextGen, and Epic preferred
Working knowledge of Microsoft Office software applications
Primary Location NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG
Daily Schedule M-F days
Scheduled Hours per 2-week Pay Period 80
Weekends Required None
Req ID: 2017-R0121765