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Rid Analyst Revenue Integrity FT 1.0 (80 hrs biweekly)
Rid Analyst Revenue Integrity FT 1.0 (80 hrs biweekly)Memorial Health System • Reno, Nevada, USA
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Rid Analyst Revenue Integrity FT 1.0 (80 hrs biweekly)

Rid Analyst Revenue Integrity FT 1.0 (80 hrs biweekly)

Memorial Health System • Reno, Nevada, USA
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Job Details

Reno OH

Hybrid

Full Time

8-Hour Day Shift

Clerical Support

Description

In an environment of continuous quality improvement t he RID Analyst is responsible for performing detailed analysis of organizational charges medical documentation itemized bills nursing procedures and department documented charges. The RID Analyst is also responsible for preparing educational materials and delivering education to necessary departments as identified during audits. The RID Analyst will also utilize varying software tools to identify targets of focused audits for charge capture analysis. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions :

  • Performs shadowing and coaching with key stakeholders in the departments to facilitate adoption of best practices and improve documentation and charging accuracy.
  • Performs review of accounts identified as potentially missing charges and conducts additional research to help resolve areas of opportunity and identify the root cause of the issues causing the missed charges.
  • Develops and maintains project plans and project tracking including documentation of project meetings and project issues lists.
  • Performs revenue optimization functions including review of accounts for potential missing documentation coding and charging; identify root causes of missing charges; education clinical and ancillary departments; perform process improvement activities aimed at revenue optimization; coordinate with clinical departments coding CDM and other key stakeholders to address and resolve root cause issues.
  • Auditing and monitoring of defined areas.
  • Use of appropriate systems and resources for coding and charge capture (ie Craneware Charge Connect etc)
  • Identifies and reports issue trends to leadership with solution options
  • Assumes all other duties and responsibilities as necessary.

Qualifications

Minimum Education / Experience Required :

  • Associates Degree in healthcare-related field required or in lieu of education a minimum of four years relevant experience required.
  • Bachelors degree preferred.
  • Licensure / Certification : RN LPN or RHIA RHIT CPC COC CDEO CCS preferred.
  • Previous auditing experience preferred.
  • Special Knowledge Skills Training :

  • Computer skills (word processing spreadsheet graphics and database software applications).
  • Strong quantitative analytical and organization skills.
  • Proficient in chart.
  • Review clinical record information systems and coding methodologies.
  • Ability to understand and interpret medical records hospital bills and the charge master.
  • Ability to understand all ancillary department functions.
  • Ability to understand insurance terms (i.e. HMO / PP EOB stop loss etc.) and payment methodologies.
  • Ability to effectively negotiate with insurance carrier representatives and customers.
  • Ability to communicate orally and in written form.
  • Ability to utilize and understand computer technology.
  • Must be team-oriented with strong interpersonal skills.
  • Effective verbal and written communication skills and good listening skills.
  • Ability to interpret end users needs.
  • Compensation Details : Education experience and tenure may be considered along with internal equity when job offers are extended.

    Benefits : Memorial Health System is proud to offer an affordable comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer please visit our website at

    Bonus Eligibility : Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

    Memorial Health System is an equal opportunity provider and employer.

    If you wish to file a Civil Rights program complaint of discrimination complete the USDA Program Discrimination Complaint Form found online at or at any USDA office or call to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue S.W. Stop 9410 Washington D.C. 20250-9410 by fax or email at .

  • Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.
  • Required Experience :

    IC

    Key Skills

    ASC 606,Hotel Experience,Hospitality Experience,GAAP,Accounting,Revenue Management,Pricing,Analysis Skills,Salesforce,SOX,ERP Systems,NetSuite

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

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