Revenue Integrity Analyst II
Maine Medical Center
Full Time - Day Shift
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.
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
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
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.