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:

  1. Experience: Prior work experience in outpatient coding edit resolution with knowledge of CCI, OCE, NCCI and LMRP
  2. Certification/Licensure: AHIMA or AAPC coding credential
  3. Technical: Meditech and Xclaims/NThrive experience preferred

Application Instructions

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