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Revenue Integrity Team Lead Clinical

Company: Parallon
Location: Gulfport
Posted on: August 16, 2019

Job Description:

Description SHIFT: Work From Home

SCHEDULE: Full-time

RevenueIntegrity Team Lead Clinical --- Work From Home --- Full TimeParallon believesthat organizations that continuously learn and improve will thrive. That---s whyafter more than a decade we remain dedicated to helping hospitals and hospitalsystems operate knowledgeably, intelligently, effectively and efficiently inthe rapidly evolving healthcare marketplace, today and in the future. As one ofthe healthcare industry---s leading providers of business and operationalservices, Parallon is uniquely equipped to provide a broad spectrum ofcustomized revenue cycle services.JobSummaryThe Revenue Integrity Team Lead (Clinical) is responsiblefor assisting Revenue Integrity Leadership with quality assessment and trainingof the clinical Revenue Integrity Department Staff.-- Performs internal quality assessment reviewson all Revenue Integrity Analysts to ensure compliance with Company policies.Monitor and assist staff with claims in RI workflow tools for timely resolutionresulting in appropriate reimbursement and data integrity.Duties(included but not limited to) Perform on-going quality assessments for theclinical staff in the Revenue Integrity Department to ensure accuratecompletion of accounts being held due to Company or payer edits according toFederal and Company regulations-- Act as a resource to clinical Revenue IntegrityAnalysts for-- complicated cases,reimbursement and compliance information--Assist RI Management with trending patterns andidentify training and educational opportunities--Assist RI Managers in developing action plansfor RI Analyst improvement. Assist Revenue Integrity Managers by deliveringstandardized approved training and education to the Revenue IntegrityAnalysts-- Assist in the development of standardizedtools, resources and policies and procedures--Assist management with monitoring of claim volumesin RI workflow tools to ensure accurate and timely resolution. Conduct new clinical analyst orientation andtraining-- Work account edits as needed Maintain up-to-date knowledge of regulatorychanges impacting charging practices-- Meets with the RI Manager regularly toeffectively communicate and resolve issues, set and prioritize goals, improveprocesses and review department reports Assists with staff communication, providingupdates, resolving issues, setting goals and maintaining standards Assist the Manager in maintaining establisheddepartmental policies and procedures, objectives, patient, and customer servicepolicies Perform quality reviews as required byParallon/SSC policy. Work as a liaison between team members and SSCstaff Assist with payroll activities for team members(i.e., time cards, edit sheets) EducationRN or other advanced nursing degree required ExperienceHealthcare experience in an acute care hospital or codingexperience preferred. Knowledge of CPT/HCPCS codes or experience in charging orperforming charge reviews Certificate/LicenseActive Registered Nurse License or other advanced nursinglicense required We offer training support,competitive salary and excellent benefits to include several insurance packageoptions for Medical, Dental and Vision; Paid Time Off for vacation, sick leaveand holidays, Employer-paid Short Term Disability, Company matching 401K andmore!
Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/disabled, offering a great work environment, challenging career opportunities,and competitive compensation.--#ParallonBCOM

Company Description:

HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Gulf Port , Revenue Integrity Team Lead Clinical, Healthcare , Gulfport, Mississippi

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