Insight Global
Revenue Integrity Analyst
Insight Global, Camden, New Jersey, United States, 08100
Job Description
One of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of charge reconciliation process. They will report to the Manager of Revenue Integrity and work with the CDM Analysts for all aspects of revenue integrity for assigned institutes, cost centers, and/or departments. Duties include working charging related claim edits and Revenue Guardian checks in various work ques, overseeing EPIC Charge Review Work Ques, and working with PB and HB Denial teams to review and correct denials and edits. Additionally, they will assist with end user education for Craneware, monitoring Craneware requests, and obtaining any needed information.
This role will be onsite 5x onsite/week for the first 90 days, then 3x onsite/week hybrid schedule.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Skills and Requirements
Bachelor's degree or equivalent education and experience
Coding Certification (CPC, COC, CCS)
5+ years of healthcare experience; knowledge of hospital operations and payment systems
3+ years of auditing, coding, revenue integrity, revenue cycle management
Experienced with coding related billing edits (CCI, MUE, LCD/NCD, device to procedure, procedure to device)
Knowledgeable of Medicare/Medicaid regulations
Strong analytical skills and data reporting - using tools such as Excel and Tableau - Epic Experience
BI Experience
Coding Certification (CPC or COC or CPC-H or CCS)
Supply-chain and/or pharmacy item and process null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
One of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of charge reconciliation process. They will report to the Manager of Revenue Integrity and work with the CDM Analysts for all aspects of revenue integrity for assigned institutes, cost centers, and/or departments. Duties include working charging related claim edits and Revenue Guardian checks in various work ques, overseeing EPIC Charge Review Work Ques, and working with PB and HB Denial teams to review and correct denials and edits. Additionally, they will assist with end user education for Craneware, monitoring Craneware requests, and obtaining any needed information.
This role will be onsite 5x onsite/week for the first 90 days, then 3x onsite/week hybrid schedule.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Skills and Requirements
Bachelor's degree or equivalent education and experience
Coding Certification (CPC, COC, CCS)
5+ years of healthcare experience; knowledge of hospital operations and payment systems
3+ years of auditing, coding, revenue integrity, revenue cycle management
Experienced with coding related billing edits (CCI, MUE, LCD/NCD, device to procedure, procedure to device)
Knowledgeable of Medicare/Medicaid regulations
Strong analytical skills and data reporting - using tools such as Excel and Tableau - Epic Experience
BI Experience
Coding Certification (CPC or COC or CPC-H or CCS)
Supply-chain and/or pharmacy item and process null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.