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Revenue Integrity Analyst II Job in Scarborough, Maine

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Job Title: Revenue Integrity Analyst II

Employer:Maine Medical Center
Required Certifications:PTCB),RHIT,CCS) or AAPC (COC,CPC) or Pharmacy Technician (CPhT,AHIMA (RHIA
Location:Scarborough, ME
Date Posted:3/18/2020

Revenue Integrity Analyst II

Maine Medical Center

Scarborough, ME

Full Time - Day Shift

 

Maine Medical Center is seeking a Revenue Integrity Analyst II in Scarborough. This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement.

 

Under the direction of the Director of Revenue Integrity, the Revenue Integrity Analyst II plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.

 

Qualifications:

·         Bachelor’s degree from a recognized college or university in business, healthcare or a closely related field.

·         3 to 5 years’ of experience within the revenue cycle. Experience above minimum requirement will be considered in lieu of education.

·         3 to 5 years' 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, selected forensic charge reviews, CDM management.

·         Applicable professional certification through AHIMA (RHIA, RHIT, CCS) or AAPC (COC, CPC) or Pharmacy Technician (CPhT, PTCB).

·         Advanced knowledge of revenue cycle processes and hospital/medical billing to include CDM, UB, RAs and 1500.

·         Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10.

·         Advanced knowledge of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care.

·         Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations.

·         Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.

·         EPIC HB/PB experience preferred.

 

For more information, please click here, or visit www.careersatmainehealth.org/.

 

About Maine Medical Center:
Maine Medical Center is a complete healthcare resource for the people of greater Portland, the entire state of Maine and Northern New England. With a history dating back to 1864, Maine Medical Center is the state’s largest medical center and the flagship facility of MaineHealth, with 637 beds and more than 7,000 employees. In addition, we have achieved Magnet™ status in recognition of our commitment to the highest standards of nursing excellence. Maine Medical Center’s unique role as both a community hospital and a referral center requires an unparalleled depth and breadth of services, including the state’s only medical school, through a partnership with Tufts University School of Medicine, and a world-class biomedical research center, the Maine Medical Center Research Institute.

Inside and out, you’ll find what you’re looking for when you join Maine Medical Center. As the largest hospital in northern New England, MMC is committed to helping you grow professionally throughout your career. From tuition assistance and scholarships, to ongoing education, leadership training, mentoring and promotion opportunities, we offer the resources you need to achieve your career goals.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.


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Contact us at 844-825-1679.