Senior Medical Audit Analyst

  • Bronx, NY


: $95,430.00 - $157,490.00 /year *

Employment Type

: Full-Time


: Accounting

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Title: Senior Revenue Integrity Analyst Location: Bronx, NY Industry: Healthcare Occupational Category: Healthcare Finance & Operations Hours: Full-time Description: Our client, a renowned academic medical center and integrated healthcare delivery system, is currently seeking to hire a Senior Revenue Integrity Analyst. The Senior Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process. Responsibilities: Administer internal audits and review activities to improve the revenue cycle, claims production, and coding integrity. Develop and maintain solvency within each practice?s revenue cycle. Perform, review, and monitor statistics and key performance indicators to identify improvement opportunities. Perform various financial analyses and provide recommendations based on activities. Perform charge reconciliation process to ensure that charges are captured. Review, monitor, and facilitate implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements. Conduct training to staff on billing and charge capture of services. Recognize opportunity for operation improvements and assist with the conduct re-retraining. Conduct special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc. Investigate billing error and denial data to identify root causes. Provide onsite support and assistance for new practices. Requirements: CPC Certification required Bachelor's degree preferred 5 years of coding and auditing, revenue cycle management experience in a health care environment. Working knowledge of: Current Procedures Codes (CPT) International Class of Diseases Codes (ICD9/10) Healthcare billing including Medicare, Medicaid, or other third-party payers

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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