Revenue Integrity Certified Analyst Iv

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence.

Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.

Working at Moffitt is both a career and a mission : to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.

Summary

Position Highlights :

Revenue Integrity Certified Analyst IV works directly with the clinical leadership team to ensure accurate and compliant charge capture for existing and new related business opportunities. This includes the research of coding guidelines and charging process pre and post go-live. The review includes the existing volumes per chargemaster item, training and education on clinical documentation opportunities to meet compliance requirements, research and review of current business and upcoming new services.

This position is responsible for the oversight, management, and maintenance of the Charge Description Chargemaster (CDM) and related ancillary systems according to the government and third-party payer regulations and guidelines. It works very closely with Clinical Informatics and Clinical IT to build the CDM in all impacted systems.

Revenue Integrity Certified Analyst IV completes charge audit for the complex departments based on the priority assigned by the Revenue Integrity leadership. This position ensures a consistent charge capture and billing by applying appropriate management of Correct Coding Initiative (CCI) / Outpatient Code Editor (OCE) edits in a timely fashion.

In addition, it onboards new team members to Revenue Integrity and leads special projects and initiatives as assigned by the Mid Revenue Cycle leadership.

Responsibilities :

• Research coding on new clinical business
• Chargemaster Management
• Charge Audit
• Complex Coding
• Education and Training
• Special Projects
• All other duties as assigned

Credentials and Experience :

Certification :

Any "one" of the following certifications is required upon hire :

Minimum Skills / Specialized Training Required :

Equal Employment Opportunity

Moffitt Cancer Center 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, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

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