QA Revenue Integrity Analyst Job at US Acute Care Solutions
Where do you belong?
Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job Description
GENERAL SUMMARY:
Audits and corrects patient accounts to ensure revenue integrity. This includes identifying trends in data, correcting claims in the billing system, and communicating across the departments. This is a remote position.
Location: Remote
ESSENTIAL JOB FUNCTIONS:
- Reviews and corrects patient charts in OnBase and/or eDisc, including keywords, chart images, and coder e-form.
- Claim resolution in Athena including resolving edits, claim correction, and rebilling when applicable.
- Coding review and appeals/denials support.
- Audits charts and claims to find error origination and correct errors.
- Troubleshoots and resolves issues
- Must have thorough understanding RCM business and workflow to support revenue integrity
- Analyzes data to identify trends, recommend resolutions, and reduce needed corrections.
- Resolves issues by communicating with other department personnel.
- Maintains knowledge of current carrier and government regulations relevant to the industry.
- Performs and assists with other department duties as needed including but not limited to attending department meetings and training sessions, reading department literature, and other special projects.
- Other duties as assigned
KNOWLEDGE, SKILLS AND ABILITIES:
- General knowledge of revenue cycle including all aspects of billing.
- General knowledge of ICD-10 and CPT coding.
- Preferred knowledge of OnBase, eDisc, and Athena.
- Knowledge of and skill in using personal computers and terminals in a Windows environment with an emphasis on basic word processing, data entry, proficiency with Excel spreadsheets, and Zoom or another virtual meeting platform.
- Ability to pay close attention to detail, be multi-task oriented, and work independently
- Ability to identify, research and solve problems and discrepancies.
- Ability to communicate with coworkers, management, and other teams in a courteous and professional manner.
- Ability to maintain confidentiality.
- Process assigned duties in an organized manner.
- Perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
- Ability to work overtime when needed.
EDUCATION AND EXPERIENCE:
- High school diploma or equivalent.
- At least one year of experience in a revenue cycle position, with a demonstrated knowledge of coding and billing industry guidelines and regulations.
- Upon hire, candidate will have one year to complete courses in our internal learning management system to achieve an ED Badge Certification.
PHYSICAL DEMANDS:
- While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
- Required to have close visual acuity to perform job
Hourly Rate: $18.76 - $31.26
Rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description
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