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Revenue Integrity Associate - Revenue Integrity - FT DAYS

Klamath Falls, OR • On-site


Sky Lakes Medical Center
Health Care and Social Assistance • 1 - 5K employees

7.5

Company rating: 7.5 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

261st of 1,064 rated hospitals

People enjoy working here

Good employer

Paid breaks


$34.07 - $50.95/hr

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

QUALIFICATIONS
Required: Bachelor's or Associates Degree in related area or equivalent level of training/experience; Five (5) years healthcare experience; current certification in medical coding; familiar with health information management, healthcare operations including clinical and business, Revenue Integrity/Medical Coding workflows; ability to organize work and attend to detail; and an ability to work collaboratively across multiple departments and multiple schedules. Ability to comprehend, interpret, and apply the appropriate sections of applicable laws, guidelines, regulations, ordinances, and policies necessary to meet the Medicare Conditions of Participation; DNV; HIPAA; Federal and State regulations as applicable to in an acute care hospital. Extensive knowledge of Mosaiq Oncology software and oncology coding.
Preferred: Experience working with HIM, Revenue Cycle, Epic's various application module(s); Applicable healthcare experience with the Ambulatory and/or Inpatient Department(s) medical coding, workflows, certified in medical coding; revenue cycle management experience, information and operational workflows. Ten (10) or more years specialty coding experience.
TYPICAL PHYSICAL/MENTAL DEMANDS
Medium physical demands capability required. Ability to lift ten pounds. Able to work within time constraints; high stress situations and multiple tasks; ability to maintain a professional attitude and appearance; be courteous to co-workers and patient/family. Participate and promote teamwork.
ESSENTIAL JOB FUNCTIONS:
    • Assists with the coordination, implementation, on-going maintenance and evaluation of system functionality for HIM related applications, including Optum 3M encoder, nthrive Correct Code; Epic's Application Module(s), and other workflows as assigned. Assists with Clinical, Financial and Operational systems, and extensive knowledge of the Mosaiq Radiation Oncology software system.
    • Presents recommendation(s) and solution sets to meet Revenue Integrity and clinical efficiencies, focusing on the impact on quality outcomes and efficiencies.
    • Excellent Communication skills, provide Clinician education to ensure accurate and complete medical record/coding documentation standards are met.
    • Extensive knowledge and experience with specialty coding, including Radiation Oncology, Medical Oncology, Diagnostic Imaging, Cardiology, etc.
    • Excellent research skills, ability to articulate, disseminate, and educate coding standards and updates.
    • Assist providers with coding training and document template recommendations to ensure accurate and thorough documentation standards are met to fulfill the rules and regulations required by Medicare, DNV, and all regulatory standards; assesses the effectiveness of Revenue Integrity and impact on workflows in maximizing documentation, charge capture, supporting best clinical, operational and financial outcomes.
    • Consistently demonstrates a professional, self-directed approach to cooperative/collaborative relationships throughout the organization with trust, honesty and respect. Excellent verbal and written communication with peers, co-workers, directors, physicians, office staff, and other departments; work independently and with others.
    • Ability to adapt to change rapidly; ability to prioritize activities complete tasks in a timely manner.

MARGINAL JOB FUCTIONS:
  • Perform other duties as assigned

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.


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