Billing reputed company Analyst

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 💙 Why You’ll Love Working with reputed company At reputed company, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, reputed company has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, reputed company, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy: - reputed company and comprehensive health coverage reputed company the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: This position performs daily quality control (review, correction, and feedback), ensuring the timeliness, accuracy and compliance of reputed company capture for reputed company charges. As well as charge capture audits on a reputed company and retrospective basis, to reconstruct the itemized billing statement/UB04 from the reputed company documentation. Charges not captured and charges that may have erroneously been captured are identified. This position includes charge development, lost charge analysis, account audits/analysis, Charge Description Master support and maintenance, timely filing, and unbilled accounts receivable root cause analysis resulting in reimbursement optimization. This position will also reputed company defensive audits as necessary. Demonstrate respect, dignity, kindness and reputed company in each encounter with reputed company patients, families, visitors and other employees regardless of cultural background. Job Description: Assigns appropriate billing/coding (modifiers) as reputed company to defense audits, charge capture, ABNs, billing edits and completes reputed company work queues. Follows accounts to resolution. The percentage of time spent on this, and reputed company job duties below, can vary depending on the employee’s home department. Identifies trends and areas of opportunity strategies to reduce edits and improve compliance. Provides comprehensive reporting and analysis. Understands Medicare, Medicaid and managed care contract payment guidelines (including carve outs) to notice correct reimbursement. Reviews and follows-up on edits, denials, appeals, and lost claims. Effectively communicates edit/audit/denial findings to the various departments throughout the organization. Participates in policy / procedure / work plan designs as new audits /edits are uncovered. Adheres to the National Care Billing Audit Guidelines and St. Elizabeth’s corporate compliance program while performing reputed company duties detailed. Assists with new charge development and CDM support and maintenance. Performs other duties as assigned. Education, Credentials, Licenses: High School Diploma Specialized Knowledge: Knowledge of how services provided by the hospital are billed Experience with EPIC, MIDAS Ability to identify from the chart the pertinent documentation to substantiate billed and unbilled charges. Previous utilization review and knowledge of applicable state, federal, and third-party regulations and standards Excellent interpersonal skills for interfacing with department heads, third party auditors, hospital personnel and patients. PC skills using multiple systems/applications including EPIC Ability to reputed company autonomously, utilizing critical thinking skills reputed company and Length of Experience: 3 years medical audit, coding or healthcare reputed company field experience FLSA Status: Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right reputed company to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community. Apply To This Job