Maitland, Florida, USA
38 days ago
Medical Economics Analyst - Hybrid

All the benefits and perks you need for you and your family:

· Benefits from Day One

· Career Development

· Whole Person Wellbeing Resources

· Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Job Location : Monday- Friday 8:00am to 5:00pm - M,W,TH Onsite T,F Remote - Altamonte Springs, FL

The role you’ll contribute:

The Division Revenue Integrity Infusion and Injection Coder under the general supervision of the Division Revenue Integrity Manager is responsible for assigning Infusion and Injection codes and completing Charge Review to ER and Outpatient medical records, following coding Essentials for Infusion and Injection Therapy Services. Responsibility to adhere to the AdventHealth Corporate Compliance Plan, to the rules and regulations of all applicable local, state, and federal agencies, and to the standards of all accrediting bodies.

The value you’ll bring to the team:

· Requires charge capture and coding knowledge of Infusion and Injection Therapy Services

· Codes Infusion and Injection Therapy Services on qualifying records following departmental policies and procedures.

· Reviews assigned charges within the medical record to verify what is ordered and what procedures are carried out.

· Monitors the status of the unbilled reports, charges, and missing documents, and corrects errors to ensure the charge review process is completed promptly.

· Reviews and requests charge corrections on patient accounts and make changes and account activity requests as appropriate

· Demonstrates attention to detail, thoroughness, and accuracy in daily work.

· Completes high-quality work following outlined standards and procedures within defined time frames.

· Assumes responsibility to maintain knowledge and compliance with all current hospital and departmental policies.

· Completes charge reviews for multiple facilities and regions promptly.

· Encourages teamwork by working collaboratively within the department as well as with other departments to ensure accounts are coded and billed timely.

· Occasionally trains others, as in orientation of new employees or acting as a preceptor for workers learning new skills.

· Communicates to various departments when charges need adding, deleting, or changing and when discharge dispositions and patient type/status need clarifying.

· Professional demeanor, patience, and tact are required in dealing with all staff within the department, the facility, and outside influences.

· Requires compliance with department Charge Capture, as well as any governmental coding regulations.

· Participates in department performance improvement reviews and charge capture reviews.

· Successfully meets requirements to perform Infusion and Injections charge reviews for all patient types required at this level.

· Manages time to ensure productivity and accuracy requirements are met.

Qualifications

The expertise and experiences you’ll need to succeed:

KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:

· Basic Coding knowledge

· Knowledge of specific coding guidelines

· Good computer skills with the ability to learn Epic.

· Comfortable with all Microsoft Office programs.

· Ability to review documentation in a medical record.

KNOWLEDGE AND EXPERIENCE PREFERRED:

· Associates Degree in business, health administration, or another related field;

· OR, in lieu of Bachelor's Degree, 2-5 years of applicable experience

· Two to three years of healthcare revenue cycle experience with a focus on one or more of the following areas: o coding, charge integrity, charge reconciliation, charge compliance, charge auditing, and CDM compliance or relevant clinical hospital experience.

EDUCATION AND EXPERIENCE REQUIRED:

· Associate and 2 years experience

EDUCATION AND EXPERIENCE:

· Infusion and Injection Therapy Services Coding Hierarchy and Charging Guidelines

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Managed Care

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Req ID: 24026022

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Confirm your E-mail: Send Email