HB Revenue Integrity Analyst

Position: HB Revenue Integrity Analyst
Location: Remote candidates must live in MA, WA, NH, CT, NY, CA, PA, TX, OH, IL., FL and GA
Job Type: Contract
Duration: 3-6 months to start, potential to convert to full-time
Job Description Responsibilities

• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
• Collect and analyze outpatient clinical information to accurately report codes and abstract relevant information used for reimbursement, research, statistical financial planning and marketing initiatives.
• Demonstrate a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills. Is able to effectively utilize various computer systems in performance of job functions.
• Demonstrate an understanding of the revenue management cycle. Prioritizes data in accordance with established guidelines of all; governmental regulatory agencies and third party payers.
• Ability to apply accurate coding to hospital and physician billing scenarios for appropriate reimbursement
• Demonstrate competency in coding and abstracting outpatient records in accordance with ICD-9-CM and CPT-4 coding conventions and national coding guidelines, meeting the expected monthly quality and productivity standards according to departmental policy.
• Maintain an understanding of regulations, standards and practices as they relate to Health Information Management. Is knowledgeable of the various regulatory and data reporting agencies and their functions.
• Participate in continuing education opportunities and shows initiative in researching difficult or interesting subjects. Shares information with the rest of the team.
• Updates knowledge base annually in the following areas: ICD-9-CM, CPT-4 (valid and deleted codes), payment regulations for all payer types, coding conventions/rules as published in the Coding Clinic , and CPT Assistant , as well as changes in medical terminology and advances in medical and surgical procedures.