https://non-clinical-emory.icims.com…un1offset=-240

Description
JOB DESCRIPTION: The Billing Compliance Analyst will work directly with the Emory Hospitals Revenue Cycle team and provide assistance with coordinating the billing compliance activities. Assist with reviewing and analyzing hospital claims to ensure compliance with applicable regulations and guidelines. Conducts monthly review (Billing QA) for hospital claims. Formulates recommendations based upon the findings and communicating them to the appropriate personnel. Assists with reviewing and analyzing claims data for potential compliance concerns. Organizes with applicable parties to complete action items identified from various reviews. Assists with coordinating and tracking of revenue cycle/government audits including CERT, MSP audits, Medicaid Credit Balances and Kepro 2 Midnight review, etc. Performs other duties or special projects to support the hospital revenue cycle team.

MINIMUM QUALIFICATIONS: Bachelor’s Degree in related field is preferred. Relevant combination of education and experience may be considered in lieu of a degree. Five years of experience in coding and/or auditing. Familiarity with hospital operations. Recent experience with regulatory research and an understanding of the regulatory environment particularly related to healthcare revenue cycle. Knowledge of hospital billing and reimbursement of government payers. Excellent communication, organizational, project management and computer skills required. Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder – hospital (CPC-H), OR Certified professional coder (CPC).

PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.