Revenue Integrity Analyst II - Emergency Room na UT Southwestern Medical Center

%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to %3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22https://www.utsouthwestern.edu/newsroom/articles/year-2022/july-us-news-best-hospital.html%22%3EU.S. News %26amp; World Report%3C/a%3E, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3Cbr%3EThe Revenue Integrity Analyst II maintains the integrity of the Revenue Integrity program to ensure compliance with Medicare/Medicaid regulations, Managed Care contractual agreements and the applicable policies of UT Southwestern University Hospital.%26nbsp;%3Cbr%3E%3Cbr%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22http://jobs.utsouthwestern.edu/benefits/#top%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EThis is a remote position and prefer that the candidate lives in TX.%3C/strong%3E%3C/p%3E%3Cp%3E%3Cstrong%3EWork Shift: Monday-Friday (Start time can be from 5:30am-9am) 8.5-hour day shift. This will be discussed more as part of the interview process.%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EBachelor%27s Degree from a recognized college or university in business, healthcare or a closely related field%26nbsp;%3Cbr%3EExperience above minimum requirement will be considered in lieu of education.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E5 year%27s experience within the revenue cycle.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3ELicenses and Certifications%3C/strong%3E%3Cbr%3E(CPHT) CERT PHARMACY TECH Upon Hire or%26nbsp;%3Cbr%3E(PTCB-CPHT) CERTIFIED PHARMACY TECHNICIAN Upon Hire or%26nbsp;%3Cbr%3E(LVN) LICENSED VOCATIONAL NURSE Upon Hire or%26nbsp;%3Cbr%3E(AHIMA-RHIA) REGISTERED HEALTH INFO ADMNSTR Applicable professional certification through AHIMA Upon Hire or%26nbsp;%3Cbr%3E(RHIT) REGD HEALTH INFO TECHNOLO Applicable professional certification through AHIMA Upon Hire or%26nbsp;%3Cbr%3E(CCS) CERT CODING SPECIALIST Applicable professional certification through AHIMA Upon Hire or%26nbsp;%3Cbr%3E(COC) Certified Outpatient Coding Applicable professional certification through AAPC Upon Hire or%26nbsp;%3Cbr%3E(CPC) CERT PROFESSIONAL CODER Applicable professional certification through AAPC Upon Hire or%26nbsp;%3Cbr%3E(CPC-A) CERT PROF CODER-APPRENTICE Upon Hire%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPreferred%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E6 years in excess of five (5) years%27 experience in the hospital setting, healthcare industry or coding with a focus in one or more of the following areas: charge integrity; charge reconciliation; charge compliance; charge auditing; CDM management. EPIC HB/PB experience preferred.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cbr%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EResponsible for conducting quality control audits to ensure data/documentation integrity, and communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits within the operational units. Performs internally defined audits to identify under/over charges; reviews charges posted to the claims against the necessary clinical documentation to identify any possible under/over charges; documents audit findings and sends results to appropriate departments.%3C/li%3E%3Cli%3ECompile information and/or prepare reports and analyses setting forth results of date integrity findings with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action. Conducts review of accounts that have not been paid according to their contractual agreement because of denied charges; compares charges with clinical documentation to determine the validity of the denial and/or identifies any charge discrepancies; documents audit findings; posts adjustments to accounts and sends to appropriate department for rebilling and/or payment correction if necessary.%3C/li%3E%3Cli%3EFollow up with appropriate health team members to ensure accurate and complete documentation in the medical record. Works collaboratively with the appropriate operational leaders to develop education strategies to promote complete and accurate clinical documentation and correct negative trends.%3C/li%3E%3Cli%3EAdvises service line leaders and their staff on proper usage of charge codes; identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections.%3C/li%3E%3Cli%3EMonitors EPIC Revenue Integrity Dashboards. Serves as subject matter expert to leadership on issues related to Revenue Integrity.%3C/li%3E%3Cli%3ETrain and assist in daily resolution of billing edits that are holding patient claims from billing, by reviewing the medical records and other applicable documentation.%3C/li%3E%3Cli%3EStay abreast of ongoing compliance trends and developments. Reports new developments to department.%3C/li%3E%3Cli%3EParticipates in moderately complex projects related to revenue integrity initiatives.%3C/li%3E%3Cli%3EPerforms other duties as assigned.%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.%3Cbr%3E%26nbsp;%3C/p%3E Candidatar-se agora