Certified Revenue Cycle Associate

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