Park Nicollet is looking to hire a Senior Analyst, Coding Revenue Integrity to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
Position Summary:
Highly skilled individual within Revenue Cycle or Charge Master who can independently analyze and understand large amounts of moderately complex data to identify trends, root causes and financial impacts related to charge capture, work queue (WQ) activities, and payer denials. Responsible for monitoring WQs (Charge Master, coding, and/or denial-related) to ensure timely resolution, appropriate routing, and compliance with organizational standards. Analyzes, prepares, and delivers findings on denied charges and charge discrepancies to stakeholders, with a focus on identifying systemic issues impacting revenue and operational workflows. Develops an understanding of the third-party payer denials as they relate to professional charges to ensure appropriate payment.
Provides pertinent guidance and expertise within work queue management, charge trending, and research of denials that pertain to coding rules, payer policies and government regulations.
Independently monitors volumes, aging and financial impact of coding denials and WQ inventory. along with dollars associated with coding denials to provide direction and assistance to the coding team.
Independently runs queries, coordinates pivot tables, and/or other reports for leaders. This can include information on identified trends, issues, and/or provides input and support to medical departments on decreasing denials and capturing appropriate revenue by researching how clinician/departments can improve how they charge or code and make suggestions to the operational issues that contribute to the denials the department/clinician may be incurring.
A highly visible role that collaborates across coding, charge master, denial management, operational departments and Integrity and Compliance to drive revenue integrity, reduce variation, and support system wide best practices.
Required Qualifications:
Education, Experience or Equivalent Combination:
Licensure/ Registration/ Certification:
Knowledge, Skills, and Abilities:
Preferred Qualifications:
Education, Experience or Equivalent Combination:
Knowledge, Skills, and Abilities:
Benefits:
Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!
Senior Analyst, Coding Revenue Capture • Saint Paul, MN, United States
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