Dignity Health Revenue Integrity Analyst in SAN FRANCISCO, California

Overview

St. Mary’s Medical Center is a full-service acute care facility with more than 575 physicians and 1,100 employees who provide high-quality and affordable health care services to the Bay Area community. Home to advanced medical practices, such as the nation’s first digital cardiac catheterization laboratory, pioneering spine surgery and comprehensive rehabilitation, St. Mary’s Medical Center is one of San Francisco’s leading hospitals, offering patients a full range of outpatient and inpatient services delivered with the human touch. Strategies and business development are centered around Oncology Services, Cardiac Services and Orthopedics.

Responsibilities

Analyzes daily revenue capture by monitoring and trending gross revenue. Performs department charge audits, assists with charge reconciliation processes, assists departments with billing edit resolutions, tracks problematic claim trends, work with hospital departments to communicate issues and establish resolutions. Reviews denial reports, communicates trends, and provides feedback/education to departments.

Qualifications

Requirements:

Three to five years revenue integrity experience, knowledge of the charge description master required

Associate's Degree or equivalent on the job experience required.

Knowledge of revenue cycle processes including charge capture and coding, and strong understanding of reimbursement methodologies. Ability to work independently, set priorities, and manage work accurately and timely. Willingness to travel to other work settings is essential. Able to handle confidential information. Must have the ability to read and analyze data for specific audience: Excel, SMS, word processing, electronic charts. The ability to extract data from computer programs is essential. Must display sound judgment, tact, discretion, and ability to develop and sustain a cooperative working relationship with all levels of associates and customers. This relationship interacts with Optum 360 staff, hospital department directors and supervisors, outside regulatory agencies, patients, visitors, physicians, and co-workers.

Preferred:

Previous experience in coding/billing with knowledge of payer guidelines preferred.

Bachelor's Degree or equivalent job related experience preferred.

Strong Excel skills and Access Database skills preferred. Certified Coding Credential preferred.

CPC, CCA, COC or CCS.

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Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status or any other characteristic protected by law. For more information about your EEO rights as an applicant, please

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this telephone number.

Job ID 2018-52092

Employment Type Full Time

Department Finance

Hours / Pay Period 80

Facility St Marys Regional Medical Center

Shift Day

Location SAN FRANCISCO

State/Province CA

Standard Hours Days Mon-Fri