Revenue Integrity Analyst Job at Lee Health, Cape Coral, FL

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  • Lee Health
  • Cape Coral, FL

Job Description

Location: Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991

Department: Lee Professional Billing

Work Type: Full Time

Shift: Shift 1/7:30:00 AM to 3:30:00 PM

Minimum to Midpoint Pay Rate: $22.78 - $29.62 / hour

Summary

Assists the newly developing Revenue Integrity department in establishing set guidelines for internal review processes and workflows. Those processes may include but are not limited to the following: Updating Professional Billing Commercial Payer contracts, establishing a variance workflow to capture under payments and assuring through contract review that our contracts loaded in the Epic system are calculating based on contract language expected reimbursement amounts. Assisting as a back-up to our Charge and Credentialing teams with review of potential charge and/or credentialing WQs, Charge Audits, and System Issue identification. The potential candidate must possess a positive can-do-attitude, be a dependable team player, must have optimal organization and documentation skills. Professional communication ability is required both verbally and written. Experience with Professional Billing, Coding and Reimbursement and Payer Contracts is a plus. A firm understanding of our governmental payers such as Medicare and Medicaid is a necessity.

Requirements

Educational Requirements

Degree/Diploma Obtained Program of Study Required/
Preferred
and/or
High School Diploma or Equivalent Required

Additional Requirements

Prefer Bachelor Degree or higher formal education, 2 years formal education post high school in clinical, financial, or coding program.

Experience Requirements

Minimum Years Required Area of Experience Required/
Preferred
and/or
3 Years Healthcare Required

Additional Requirements

3 experience in healthcare-related field, in hospital billing, coding and/or charging/reimbursement-related capacity. Additional clinical experience in related field a plus.

State of Florida Licensure Requirements

Licenses Required/
Preferred
and/or
Not Required

Certifications/Registration Requirements

Certificates/Registrations

Required/
Preferred

Additional Requirements

Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG

US:FL:Cape Coral

Job Tags

Full time, Contract work, Shift work,

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