Revenue Integrity Coding Analyst - Revo Health

Remote, USA Full-time
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 assignedEducation 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 preferredBenefits &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 RequirementsAbility 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 requiredPerformance 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 positivelyEnvironmental Conditions• Normal clinic/office settingNotes• 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:• This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification. Apply tot his job
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