by Irma Moore | Mar 18, 2024 | Uncategorized
PRIMARY JOB RESPONSIBILITIES
The UW Medicine Revenue Billing Analyst is responsible for working on issue resolution and data quality projects requiring a broad knowledge of all aspects of Epic and related systems
Performs analysis of system issues, fixes immediate issues, redesigns workflows and performs testing, and works with operational personnel to match system technical capabilities with the business requirements of UW Medicine
Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of CPT/HCPCS procedure codes
Ensure input data are highest quality necessary to produce claim claims and reduce denials
Acts as a coding reimbursement resource and assists in root cause analysis
Work closely with the UW Medicine Clinical staff, IT Services Help Desk and ERC to provide efficient and responsive support to end users
Develop and maintain QA documentation
REQUIRED QUALIFICATIONS
2 to 3 year’s experience
Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC) OR eligible to sit for the exam within 6 months of hire
by Irma Moore | Mar 18, 2024 | Uncategorized
t is expected that all the essential functions and responsibilities for this position will be performed in a manner that reflects the values Bon Secours Mercy Health, which are excellence, human dignity, justice, compassion, sacredness of life and service.
- Acting as a subject matter expert of Accounts Payable policies, procedures, and system(s).
- Analyze process, recommend improvements for current policies, procedures, and system(s).
- Analyze, research and resolving of complex accounts payable issues, internal and external.
- Processing of high volumes of invoices through Accounts Payable System(s).
- Responsible for researching and resolving invoice discrepancies while working and communicating with internal and external customers.
- Assume delegated tasks as appropriate from BSMH AP Management that will involve critical thinking and problem-solving daily.
- Assist with external AP Auditors for quick review, approval, and entry of claims.
- Process vendor issued credits and adjustment following system procedures.
- Identify and recommend actions needed to resolve issues, system fixes, not band aid on issues.
- Participate in team meetings, in an engaged manner promoting positivity.
- Comply with GAAP and HIPPA regulations as required.
Qualifications
- Associates Degree in Business/Accounting/Finance
- 5+ years of high-volume Accounts Payable experience, preferably in Healthcare or Non-Profit Corporation
- Proficient on all aspects of Microsoft Office, strong Excel skills
- Strong Communications skills, result oriented, self-motivated with the ability to work independently and as a team member, detail oriented and analytical, with a willingness to learn
- Experience with Hyland Onbase and Workday ERP preferred
by Irma Moore | Mar 18, 2024 | Uncategorized
- Complete and support regular and ad-hoc reporting, including informal and formal internal and client documents, reports, graphs, charts, and presentations.
- Support team’s efforts to develop efficient reporting strategies, including automation and simplification of reporting processes while preserving data integrity.
- Organize and maintain team data collection, reporting and communication.
- Support cost-savings and process improvement initiatives.
- Participate in the development and distribution of best practices, process documentation, and user support materials for reporting.
- Monthly & quarterly report generation.
- Run day to day reporting and forecasting activities.
- Maintain and enhance reporting.
- Identify tactical and strategic opportunities, gaps, and financial risks.
- Detailed forecast analysis including Budget versus Actual spending and Forecast verses Actual spending.
- Annual Budget planning preparation and development.
- Assist leaders in researching and identifying budget corrections and work with others to implement change.
- Forecast accuracy reporting.
- Any other duties and tasks assigned.
- Special projects and other functions as required by manager.
Sound like you? To apply you need to have:
- Bachelor’s degree in Finance or Accounting
- 2+ years relevant experience
- Advanced MS Excel skills
- Demonstrated financial competency at a detailed level of operation
- Ability to collaborate across many levels
- High level of attention to detail and accuracy, and ability to make effective decisions and solve problems
- Strong organizational, analytical, and coordination skills
- Advanced verbal and written communication skills
- Excellent level of customer service skills
- Flexible and adaptable to tasks assigned
- Excellent interpersonal skills / interpersonal sensitivity
by Irma Moore | Mar 18, 2024 | Uncategorized
- Provide coordination and planning for quality assurance reviews to assess comprehension of training efforts
- Meet department production and quality standards
- Meet due and deadlines for projects and daily assignments
- Research coding updates and coding inquiries
- Keep abreast of coding guidelines and billing knowledge to ensure appropriate application of ICD-10 and CPT codes are reported.
- Provides risk adjustment subject matter education, leading continuous evolution and innovation for medical coding improvement initiatives
- Coordination of clinician auditing in line with provider coding compliance for clinician documentation reviews; Including administrative tasks
- Provide analysis reporting of benchmarking profiles for CPT/Evaluation and Management code distribution and complexities for services performed
Skill Requirements/Preferences
- Expert knowledge of ICD-10-CM, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy, and physiology
- Knowledge in principles of adult learning concepts and capable of planning, coordinating, facilitating coding educational programs
- Proficient at incorporating adult learning principles, online and in person teaching methods to maximize learning and the application of that learning
- Superior organization, communication (verbal and written), interpersonal and oral engaging presentation skills
- Ability to comfortably speak to small/large groups, network, and build effective relationships
- Demonstrated adaptability/flexibility and the ability to coordinate multiple tasks.
- Ability to work independently and exercise independent judgment and decision making
Education Requirements
- Bachelor’s degree, or equivalent experience in applicable healthcare field may be substituted.
- 5 + years of medical coding and progressive experience in Professional Medical Coding
- Current AAPC Certified Professional Coder/CPC certification
- Certified Professional Medical Auditor/CPMA, preferred
by Irma Moore | Mar 18, 2024 | Uncategorized
This position is responsible for creating and maintaining accurate record listings by implementing established processes, by recommending improvements and solutions to improve processes, and through continual research and training on industry standards and disability service systems. Outreach is made to service providers throughout Iowa and nationwide to explain the services of Iowa Compass and to assist service providers in creating, updating, and submitting their program and service information listed within Iowa Compass resources. Iowa Compass is a program of the University Center for Excellence in Developmental Disabilities (UCEDD), at the Center for Disabilities and Development (CDD) within the University of Iowa Healthcare.
This position is eligible for remotework within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
Position Specific Duties:
- Synthesize and translate information submitted by service providers about programs and services into clear and plain language, using guidance from an established Taxonomy service coding system, Inclusion Policy, and Style Guide.
- Applies professional Information and Referral membership organization Inform USA industry standards and Iowa Compass standards to the database content.
- Documents all actions taken on record listing updates and communication with service providers to manage personal workflow.
- Creates and maintains record listings in a resource database of organizations that provide programs and services for Iowans with disabilities.
- Communicate effectively through various forms of communication (phone, email, Zoom) with service providers throughout the state and nationwide.
- Research and gain knowledge of the complex systems of support for Iowans with disabilities and their families for understanding, to share information with the team, and to accurately add new services to database record listings.
- Analyzes data for quality improvement and information dissemination initiatives.
- Represent Iowa Compass by providing information about the program’s mission to internal and external stakeholders.
- Assists service providers in completing an annual verification to ensure their organization’s programs and services are accurately listed.
- Contribute ideas and work collaboratively with the Iowa Compass team.
- Reports regularly to the Iowa Compass Program Manager on the status of activities. Reports on the status of tasks and projects to the Database Administrator, as requested.
Required Qualifications:
- Bachelor’s Degree in related field or equivalent combination of education and experience in data curation and analysis.
- Inform USA’s Community Resource Specialist – Database Curator (CRS-DC) certification required at time of hire, or within 18 months of employment.
- One year experience providing data analysis, including the ability to become proficient in learning new and changing applications and software.
- Extensive proficiency in working with various communication tools (Skype, Microsoft Teams, Microsoft
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