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Senior Revenue Optimization Analyst- Mount Carmel Coporate Service Center

Company: Trinity Health
Location: Columbus
Posted on: July 15, 2019

Job Description:

Our Revenue Optimization Analyst colleagues support our mission in a variety of ways. Their compassion and commitment to collaborative excellence positively impacts our patients and the communities we serve. This is what truly sets Mount Carmel apart. In return, Mount Carmel provides excellent learning and growth opportunities, excellent benefits and opportunities to succeed. The Revenue Optimization Analyst is accountable to assure that all activities related to revenue management operations are accomplished successfully and within specified timeframes. The Revenue Optimization Analyst assumes leadership for clinical documentation, education with the Clinical Departments, and root cause correction to support accurate coding and charging in compliance with company policies. The Revenue Optimization Analyst assists clinical area to effectively document services and understand relationship of documentation, medical necessity, coding and charging for all services provided. The Revenue Optimization Analyst provides education and training of staff on clinical documentation, coding and charging for services in accordance with MCHS policies and procedures. Responsibilities Performs revenue optimization functions including:Review of accounts for potential missing documentation, coding and chargingIdentify root cause of missing chargesEducate Revenue Coordinator, Clinical and Ancillary DepartmentsPerform process improvement activities aimed at revenue optimizationCoordinate with the Clinical Departments, HIM, CDM, and other key stakeholders to address and resolve root cause issuesAuditing and monitoring of defined areas Performs review of accounts identified as potentially missing charges and conducts additional research to help resolve the areas of opportunity and identify the root cause of the issues causing the missed charges Coordinates with clinical departments HIM, PFS, CDM, Finance and others to review, correct claims and identify root cause of missing charges. Performs analysis of patient clinical and billing data to identify documentation, coding and charging opportunities, summarizes data and prepares summary materials for discussion with clinical and finance teams. Conduct chart reviews of Clinical departments to regularly review the documentation and charge accuracy and to integrate into educational sessions with the Clinical departments and medical staff Requirements/Qualifications Bachelor's degree or over 5 years related healthcare experience in lieu of degree. RN, LPN, RHIA, RHIT, or other coding credential preferred. Five or more years of healthcare knowledge typically obtained from experience as a clinical caregiver or manager, coding specialist, and/or a revenue management/cycle professional staff person. General understanding of hospital based outpatient charging, coding, and/or revenue capture functions. Knowledge of APC and OPPS reimbursement structures preferred. Possesses strong project management skills. Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads. Discovering opportunities, support and excellence - all while making a real difference in patients' lives - begins at Mount Carmel . Find a new beginning and advance your career with us! Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Keywords: Trinity Health, Columbus , Senior Revenue Optimization Analyst- Mount Carmel Coporate Service Center, Professions , Columbus, Ohio

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