New

Chargemaster and Revenue Integrity Analyst

Signature Performance
life insurance, paid holidays, sick time, tuition assistance, 401(k)
United States, Nebraska, Omaha
10250 Regency Circle (Show on map)
Jan 09, 2025
ABOUT YOU You are a person who loves to conduct in-depth evaluations of both hospital chargemaster files as well as the received third party payments for multiple hospital systems. We need someone who has expertise in auditing revenue codes, CPT & HCPCS codes, charge descriptions, and modifiers assigned to charges in all ancillary departments. In the role of Chargemaster and Revenue Integrity Analyst you'll be responsible for gathering, analyzing, and presenting data for hospital leadership and compiling client action plans and reports. If you can put your signature on this, we can't wait to hear from you! Tell us about your experience with revenue integrity operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is a credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We're looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we can't wait to meet you. ABOUT THE POSITION The people you will work with are exceptional. Here is what you can look forward to, and why you'll LOVE YOUR MONDAYS. Abide by the AAPC's and AHIMA's Standards for Ethical Coding and Confidentiality tenets. Auditing of charges, documentation, coding, and billing practices for hospital services to determine improvement opportunities based on official guidelines and facility/client policies. Evaluation of client hospital chargemasters (overall and department specific) making recommendations for additions, deletions and revisions as needed. Provide Medicare charge analysis and Core Based Statistical Area average charge analysis. Provide classroom or webinar education for hospital staff regarding correct charging, documentation, and coding practices for compliant reimbursement. Research CMS and other related websites to keep abreast of regulatory guidance. Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems Maintain compliance with government regulations, reimbursement issues, etc. Analyze hospital billing claims within the EHR and claim scrubber system Resolve claim errors, edits, and other holds Works with clinical and ancillary operational departments on correct coding, billing, and charging principles Other duties may be assigned. Position Requirements: AHIMA, HFMA, NHARI or like kind certification, highly desired Five or more years of experience with hospital billing systems and third-party billing requirements, preferred Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations Proficiency with Microsoft Excel Understanding of Medicare claims processing guidelines Experience with EPIC, MediTech, CPSI, or other EHR system In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle Strong analytical and problem-solving abilities Excellent communication, interpersonal, and collaboration skills Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes ABOUT US You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission. ABOUT THE BENEFITS We're proud to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust in you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more. Health Insurance for Our Associates Fully Paid Life Insurance Fully Paid Short- & Long-Term Disability Paid Vacation Paid Sick Leave Paid Holidays Professional Development and Tuition Assistance Program 401(k) Program with Employer Match Referral Bonuses Hybrid & Remote Opportunities General Areas of Accountability: Must conduct business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while employed with the company. The following HIPAA and Privacy items apply to all positions at Signature Performance: Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information. Follow Signature expected acceptable use to protect propriety and company owned information. Complete annually required Privacy and Security Training Performance Management: All Signature Performance associates are subject to regular performance management to determine if skills and training requirements are suitable for the position. Machines and Equipment: The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copiers and fax machines. Physical Activity: The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements. Working Conditions: The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required. Remote Eligibility: This position is Ad-hoc remote eligible. Eligibility is determined by Management or Talent Operations. U.S. Citizenship is Required for All Positions and Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii. The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. U.S. Citizenship is Required for All Positions Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii