Revenue Integrity Coding Analyst - Revo Health

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner. This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote, in office would be in at our Bloomington location and be a part of the billing team (not the coding team). Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. Essential Functions

• Monitor and manage edits software to optimize clean claims rate and minimize denials.
• Manage coding denial queues.
• Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable.
• Perform analysis of denied claims to identify trends impacting revenue
• Assist PFS Specialists in submitting appeal and successful
• Effectively communicate claim trends to aid in finalizing outstanding
• Investigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts toward
• Research changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership.
• Act as subject matter expert for i-Health practice claim denials.
• Any and all other duties as assigned

Education And Experience Requirements

• High School diploma/GED or equivalent
• Minimum of 5 years’ experience in billing operations preferred
• Minimum of 5 years’ experience in coding preferred
• Minimum of 2 years’ experience in RCx Rules or other edits software
• CPC preferred

Benefits & Compensation

• Actual starting pay will vary based on education, skills, and experience.
• We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here.

Essential Requirements Ability to:

• Comply with company policies, procedures, practices and business ethics
• Complete job required
• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, )
• Maintain prompt and reliable attendance
• Work in the clinic, office or surgery center during business hours
• Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required
• Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
• Converse in a respectful and professional manner
• Prioritize workload while being flexible to meet the expectations of the daily operations
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
• Understand and execute a variety of instructions
• Effectively operate equipment and communicate on and operate the phone system
• Work independently with minimal supervision
• Travel to other work locations, if required

Performance Expectations – Revo’s Core Values

• Integrity - Do the right thing and take responsibility for what you do and say
• Service - Consistently contribute to deliver an exceptional experience
• Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
• Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
• Teamwork - Be a part of the whole; support each other positively

Environmental Conditions

• Normal clinic/office setting

Notes

• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
• This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.

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