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Revenue Integrity Analyst (Part-Time)

Nurse with medical coding experience is highly preferred.

Perform medical and revenue audits to ensure revenue integrity as related to adherence to federal and state regulations: policies of external payers, coding rules and guidelines. Exercise independent decisions using analytical and problem solving skills. Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts.

Education

  • Bachelor's degree in business administration, accounting, management,healthcare administration, nursing or other related degree.

Experience

  • 3 years of experience related to auditing and/or coding is required. Clinical experience is preferred

Degrees, Licensures, Certifications

  • Registered Health Information Administrator(RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist(CCS), or Certified Professional Coder (CPC) or Registered Nurse (RN) preferred.

Knowledge, Skills,and Abilities: 

  • Statistical Reporting 
  • Medical Terminology 
  • ICD-9-CM & CPT-4 coding conventions 
  • Anatomy and Physiology
  • Reimbursement Methodologies
  • Extensive DRG/APC/CCI/LCD/NCD reimbursement knowledge
  • Effective written and verbal communication skills
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