Mercy Medical Center, Inc.
Revenue Integrity Analyst
Mercy Medical Center, Inc., Baltimore, Maryland, United States, 21276
Mercy Medical Center , recognized as one of
America’s Most Trustworthy Companies
(Newsweek) and one of
America’s Best Midsize Employers
(Forbes) in 2024, is hiring a Revenue Integrity Analyst! Come join our family of dedicated professionals! Military veterans are also encouraged to apply!
Mercy’s Revenue Integrity Analyst benefits:
Paid time off (PTO) & company paid holidays
Tuition reimbursement
403(B) retirement plan with generous company match and “catch up” provision
Mercy’s Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy’s Mission and Values
Competitive health, prescription, vision and dental benefits & wellness credit
Employer paid short & long term disability benefits
Discounts on auto & home insurance and Verizon plans
Pet Wellness coverage, legal assistance and identity protection
Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
Perks at Work - savings on favorite brands, travel, tickets, dining and more!
Responsibilities
Hospital Charge Master (CDM):
Accountable for:
Maintaining and updating hospital charge master
Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and HSCRC regulations including:
Revenue codes
HSCRC Rate Centers
Approved Rate / Price Compliance
Assist with price changes as needed
Ad hoc requests as needed
Revenue Integrity:
Monitor and assist with review of revenue cycle work queues in EPIC.
Analyze billing errors and denial data to identify root cause of issues.
Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate reimbursement.
Ad hoc requests as needed
Abstract Submission:
Assists with process of submission of state mandated abstract reports.
Assists with coordination of affected departments, including Medical Records, Admitting and Patient Accounting to ensure tape data integrity.
Complete abstract reconciliations and modifications as needed. Including:
Working with IT to make needed changes to the data pull to remain in compliance with HSCRC regulation.
Attending HSCRC meetings in person or virtually when abstract data is reviewed.
Maintain reconciliation of abstract data within DI, working with Data team.
Accountability for timely, complete, and accurate monthly & quarterly submissions.
Requirements
Must possess a Bachelor's Degree from an accredited institution
Must demonstrate clear aptitude and desire to work in an environment requiring analytical skills
Healthcare experience preferred
Epic experience preferred
#LI-LD1
Benefits
Benefits Eligibility is based on your scheduled FTE status and Job Category
Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees
403(b) retirement plan with generous company match and “catch up” provision
Paid Time Off (PTO) & company paid holidays
Tuition reimbursement
Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
Employer paid Short & Long Term Disability benefits for eligible employees
Voluntary Benefits
Discounts on auto & home insurance and Verizon plans
Mercy’s Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy’s Mission and Values
EEO Statement
Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.
#J-18808-Ljbffr
America’s Most Trustworthy Companies
(Newsweek) and one of
America’s Best Midsize Employers
(Forbes) in 2024, is hiring a Revenue Integrity Analyst! Come join our family of dedicated professionals! Military veterans are also encouraged to apply!
Mercy’s Revenue Integrity Analyst benefits:
Paid time off (PTO) & company paid holidays
Tuition reimbursement
403(B) retirement plan with generous company match and “catch up” provision
Mercy’s Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy’s Mission and Values
Competitive health, prescription, vision and dental benefits & wellness credit
Employer paid short & long term disability benefits
Discounts on auto & home insurance and Verizon plans
Pet Wellness coverage, legal assistance and identity protection
Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
Perks at Work - savings on favorite brands, travel, tickets, dining and more!
Responsibilities
Hospital Charge Master (CDM):
Accountable for:
Maintaining and updating hospital charge master
Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and HSCRC regulations including:
Revenue codes
HSCRC Rate Centers
Approved Rate / Price Compliance
Assist with price changes as needed
Ad hoc requests as needed
Revenue Integrity:
Monitor and assist with review of revenue cycle work queues in EPIC.
Analyze billing errors and denial data to identify root cause of issues.
Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate reimbursement.
Ad hoc requests as needed
Abstract Submission:
Assists with process of submission of state mandated abstract reports.
Assists with coordination of affected departments, including Medical Records, Admitting and Patient Accounting to ensure tape data integrity.
Complete abstract reconciliations and modifications as needed. Including:
Working with IT to make needed changes to the data pull to remain in compliance with HSCRC regulation.
Attending HSCRC meetings in person or virtually when abstract data is reviewed.
Maintain reconciliation of abstract data within DI, working with Data team.
Accountability for timely, complete, and accurate monthly & quarterly submissions.
Requirements
Must possess a Bachelor's Degree from an accredited institution
Must demonstrate clear aptitude and desire to work in an environment requiring analytical skills
Healthcare experience preferred
Epic experience preferred
#LI-LD1
Benefits
Benefits Eligibility is based on your scheduled FTE status and Job Category
Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees
403(b) retirement plan with generous company match and “catch up” provision
Paid Time Off (PTO) & company paid holidays
Tuition reimbursement
Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
Employer paid Short & Long Term Disability benefits for eligible employees
Voluntary Benefits
Discounts on auto & home insurance and Verizon plans
Mercy’s Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy’s Mission and Values
EEO Statement
Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.
#J-18808-Ljbffr