Certified Revenue Cycle Associate
Job Description
Location: Steward Health Care
Posted Date: 8/23/2021
POSITION SUMMARY:
The Certified Revenue Cycle Analyst will work collaboratively with the Coding manager as part of the CBO HIM team to resolve OP claims in N Thrive. Provide recommendations to coders and HIM on resolution of Coding & Non-Coding related edits following NCCI and Coding Guidelines
KEY RESPONSIBILITIES:
- Works within the Centralized Business Office and Coding manager in processing Unbilled Xclaim edits.
- Review and Resolve Unbilled Claims in N Thrive
- Work with coding leadership to resolve coding edits
- Work with the hospital departments & HIM leadership to clear non-Coding edits and reduce denials
- Work Conflicting HCPCS reports
- Assist in Clean Claim Analysis
- Work collaboratively with leadership to reduce DNFB
- Keep current with NCCI and coding guidelines
- Fosters partnerships with coding and Facility HIM leadership
- Complies with facility policies and regulations.
- Other duties as assigned.
REQUIRED KNOWLEDGE & SKILLS:
- Minimum coding certification of CPC, CCS, COC or RHIT
- Minimum 3 years of strong edit resolution background
- Working knowledge of Microsoft PC applications (Outlook, Word, Excel)
- Strong interpersonal/public relations skills and the ability to work effectively with a wide range of customers in a diverse environment.
- Ability to establish priorities effectively.
EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:
- Experience: Prior work experience in outpatient coding edit resolution with knowledge of CCI, OCE, NCCI and LMRP
- Certification/Licensure: AHIMA or AAPC coding credential
- Technical: Meditech and Xclaims/NThrive experience preferred
Application Instructions
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!
Apply OnlinePosted: 6/27/2022
Job Status: Full Time
Job Reference #: 66485