Revenue Integrity Coding Analyst Revo Health at Revo Health

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner.This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote in office would be in at our Bloomington location and be a part of the billing team (not the coding team).Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health working closely with Infinite Health Collaborative (i-Health) and its operating divisions.Essential functions:Monitor and manage edits software to optimize clean claims rate and minimize denials.Manage coding denial queues.Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable.Perform analysis of denied claims to identify trends impacting revenueAssist PFS Specialists in submitting appeal and successfulEffectively communicate claim trends to aid in finalizing outstandingInvestigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts towardResearch changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership.Act as subject matter expert for i-Health practice claim denials.Any and all other duties as assignedEducation and Experience Requirements:High School diploma/GED or equivalentMinimum of 5 years experience in billing operations preferredMinimum of 5 years experience in coding preferredMinimum of 2 years experience in RCx Rules or other edits softwareCPC preferredBenefits & Compensation:Actual starting pay will vary based on education skills and experience.We offer a comprehensive Medical Dental & Vision Plan Maternity Bundle 401K with Profit Sharing Tuition Reimbursement Gym & Car Rental Discounts - to learn more clickâhere.âEssential Requirements:Ability to:Comply with company policies procedures practices and business ethicsComplete job requiredComply with all applicable laws and regulations (e.g. HIPAA Stark OSHA employment laws )Maintain prompt and reliable attendanceWork in the clinic office or surgery center during business hoursTravel independently throughout the clinic office or surgery center (which may include movement from floor to floor); frequent bending lifting stooping or sitting for long periods of time may be requiredWork at an efficient and productive pace handle interruptions appropriately and meet deadlinesConverse in a respectful and professional mannerPrioritize workload while being flexible to meet the expectations of the daily operationsApply principles of logical thinking to define problems establish facts and draw valid conclusionsUnderstand and execute a variety of instructionsEffectively operate equipment and communicate on and operate the phone systemWork independently with minimal supervisionTravel to other work locations if requiredPerformance Expectations Revos Core Values:Integrity - Do the right thing and take responsibility for what you do and sayService - Consistently contribute to deliver an exceptional experienceQuality - Act with high purpose committed effort and skillful execution to exceed expectationsInnovation - Identify progressive solutions that improve service teamwork efficiency and/or effectivenessTeamwork - Be a part of the whole; support each other positivelyEnvironmental Conditions:Normal clinic/office settingNotes:Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.Required Experience:IC Key Skills ASC 606,Hotel Experience,Hospitality Experience,GAAP,Accounting,Revenue Management,Pricing,Analysis Skills,Salesforce,SOX,ERP Systems,NetSuite Employment Type : Full-Time Experience: years Vacancy: 1