The Role
Maintain, analyze, standardize, and model hospital revenue charges; provide charge compliance education and reference materials; assist financial planning and analysis; clear revenue integrity work queues in Epic; identify trends and root causes of edits to improve charge capture and billing accuracy.
Summary Generated by Built In
Cottage Health seeks a Revenue Integrity Analyst Senior for their CH Revenue Integrity department responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits.
QualificationsQUALIFICATIONS:
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
Education:
- Minimum: Bachelor’s degree or equivalent work experience or two years of work experience per one year of required education.
Certifications, Licenses, Registrations:
- Minimum: Coding certification (CCS, CCS-P, CPC, COC)
- Preferred: Registered Nurse. RHIA, Epic Certification in Resolute Charge Capture and/or Clarity Report Data. American Association of Healthcare Administrative Management (AAHAM) - Certified Revenue Integrity Professional (CRIP).
Technical Requirements:
- Minimum: Knowledge of MS Excel. Knowledge of billing requirements related to charges and associated claim forms. Knowledge of cost accounting concepts, principles, and computer applications.
- Preferred: Experience with electronic medical records and clinical application software.
Years of Related Work Experience:
- Minimum: 5 years Hospital/Health Care Coding experience.
- Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, CA, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.
Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.
*Pay for non-physician positions is determined based on related years of experience and internal equity. Eligible employees may also receive additional forms of compensation, including shift differentials, on-call pay, incentive pay, and bonus opportunities, where applicable. Manager and above positions may participate in Cottage Health’s annual management incentive program. Physician compensation is determined based upon specialty and may include bonus potential. For more information on our comprehensive Total Rewards offerings, please visit https://cottagehealth.org/careers/total-rewards.
If you're already a Cottage Health employee, please apply on this link only.
Skills Required
- Bachelor's degree or equivalent work experience (or two years work experience per year of required education)
- Coding certification (CCS, CCS-P, CPC, COC)
- Minimum 5 years Hospital/Health Care coding experience
- Knowledge of MS Excel
- Knowledge of billing requirements related to charges and associated claim forms
- Knowledge of cost accounting concepts, principles, and computer applications
- Preferred: Registered Nurse or RHIA
- Preferred: Epic Certification in Resolute Charge Capture and/or Clarity Report Data
- Preferred: AAHAM Certified Revenue Integrity Professional (CRIP)
- Preferred: Experience with electronic medical records and clinical application software
- Preferred: 3 additional years Hospital/Health Care billing or clinical experience
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The Company
