Senior, Revenue Integrity & Clinical Analyst Job
Orange Regional Medical Center - United States

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Senior, Revenue Integrity & Clinical Analyst
Job ID: 2013-8665
# Positions: 1
Job Location: US
Posted Date: 10/3/2013
Category: Business/Administrative Support/Clerical
Shift Type: 1 - Day
If Other - Shift Slot: ..
FTE: 1
Normal Working Schedule: Days
Campus: Orange Regional Medical CenterMore information about this job:

At Orange Regional Medical Center, you'll find the uncommon is common here. You'll find a healthcare leader that still maintains a sense of intimacy and a state-of-the-art facility with a tremendous sense of community. You'll find the benefits you deserve with the rewards you can see. You'll find the advancement, flexibility and resources to advance your career and provide the care that your patients need. Orange Regional Medical Center - successful careers are common here. Orange Regional Medical Center (ORMC), is a 501(c)(3), non-profit organization. Formed by the merger of Arden Hill Hospital and Horton Medical Center, Orange Regional is licensed for 383 beds and employs over 2,500 healthcare professionals including over 600 doctors. Orange Regional Medical Center has consolidated two existing campuses onto a single site in Middletown, New York. This completed facility is the first new freestanding hospital built in the State of New York since 1989 and is the largest medical center between the Tappan Zee Bridge and Albany.

The Senior Revenue Integrity & Clinical Analyst supports the Revenue Integrity & CDM Manager in managing complex financial and data analysis, large data base manipulation, cross-linking interdepartmental Revenue, Charge and Clinical related data streams that improve the efficiency, quality and financial outcomes of the Greater Hudson Valley Health Care System. They will be responsible to work with all levels of staff within the organization with regard to the design, build and implementation of systems and operational projects, designed to improve reimbursement and revenue cycle metrics. In conjunction with the Manager, this individual will be accountable for process/technology changes and policy and procedure development within our revenue cycle, including maintaining accuracy and integrity of the charge master, compliancy with Federal, State and Local regulations, charge capture and coding, charge entry, billing, denial management, contract management and reimbursement management. They will also help proactively monitor and identify training needs across hospitals within the system for specific ADT/HB/Clinical charge and coding related workflows, as well as training needs stemming from projects. Delivery of such identified training in person, or coordinating with appropriate person/groups for meeting training needs is also expected. This individual will: 1) maintain direct accountability for project execution to accomplish project objectives within timeline and resource constraints; 2) formulate measurable goals and prepare reports to monitor progress and update Manager and Revenue Cycle Team.Impact on Services/Operations: Maintenance of the charge system profiles and tables impacts the entire cash flow process and must be updated as State, Federal and Payer Contract changes are mandated. There are financial implications for both hospitals within Greater Hudson Valley Health Care System if the software applications are not maintained. Provides support to Manager, revenue Cycle Team and other interdepartmental staff through routine weekly meetings. Analysis of billing profiles reduces the billing errors and improves cash flow for the organization. If this maintenance is not performed correctly, it can cause the system to fail and impact and cost the organization negatively.

Ten (10) years CDM analytical, Revenue Cycle, HIM, Auditing or billing experience in a hospital setting, with some exposure to reimbursement or managed care experience. Sr, Revenue Integrity & Clinical Analyst must posses a clinical background, RN or like experience is strongly preferred. Analytical experience normally associated with having attained a College Degree and at least three years experience in a lead position in a healthcare billing or Revenue Cycle/Revenue enhancement setting. A working knowledge of the EPIC billing or similar hospital billing system is desirable, along with experience of stand-alone analytical software such as Microsoft Office and/or similar product. Project orientation and demonstrated ability to work independent of supervisor to attain stated goals and/or processes is also desirable.

Minimum Education:
Bachelor’s Degree required.

Minimum Experience:
(10) years CDM analytical, Revenue Cycle, HIM, Auditing or billing in hospital setting, with an understanding of reimbursement and managed care.

Required Certification/Registration:
n/a Physical Requirements: Standard Office Working Conditions: Ability to work flexible hours including possible evening and weekend hours, as needed. Close proximity to co-workers. Options: Apply for this job onlineEmail this job to a friendComing Soon!Go back to the welcome pageNeed further assistance?Applicant Tracking Software

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