Revenue Integrity AnalystVirtualVocations • Hialeah, Florida, United States
Revenue Integrity Analyst
VirtualVocations • Hialeah, Florida, United States
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A company is looking for a Revenue Integrity Analyst responsible for researching and resolving complex carrier / payor claim edits and ensuring compliance with payor specifications.
Key Responsibilities
Research and resolve complex carrier / payor claim edits and denials
Review and analyze charges and coding for compliance prior to claim submission
Collaborate with departments on charging and coding issues
Required Qualifications
Bachelor's degree in an appropriate discipline or completion of an accredited Record Technician program
Three years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding a Bachelor's degree)
Seven years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding an Associate's degree)
Eleven years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding a High School diploma or GED)
No licensure or certification required
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Revenue Integrity Analyst • Hialeah, Florida, United States
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