Job Details

Revenue Integrity Analyst V at NorthBay Health

Overview

At NorthBay Health, the Revenue Integrity Analyst is responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure established goals are met while adhering to federal and state regulations, policies of external payers, coding rules and guidelines. Exercise independent decisions using analytical and problem-solving skills. Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts. Works closely with analysts in the other Revenue Cycle Management Departments to ensure effective workflow and process. Maintains strong working knowledge of operational policies and procedures related to accounts receivable management. Responsible for evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management. Performs audits designed to ensure integrity, quality and control over the billing processes. Assists with training and education on the information systems functionality and billing and coding practices.

Responsibilities

• Manage and monitor revenue, charges, and the revenue cycle for internal and external customers, meeting established goals while complying with regulations and payer policies.
• Provide analytical and negotiation support related to third-party payer reimbursement contracts.
• Collaborate with Revenue Cycle Management teams to ensure effective workflow and processes.
• Maintain knowledge of accounts receivable policies and procedures.
• Evaluate, recommend, and assist with system solutions to automate accounts receivable management.
• Perform audits to ensure integrity, quality, and control of billing processes.
• Assist with training on information systems functionality and billing and coding practices.

Qualifications

• Education: Bachelor's degree in business administration, healthcare administration, nursing or related field.
• Licensure: Coding certification (e.g. CPC, CCS, RHIA, RHIT) required.
• Experience: Minimum seven years of hospital business office experience, or three years of clinical patient care with two years of medical business office experience required. Two years of hospital Medicare billing/coding experience strongly preferred. Experience with interfaces required.
• Skills: Strong organizational and meeting facilitation skills. Strong project management capabilities. Ability to read and interpret regulatory information related to billing of CDM data. Proficient in MS Office applications, especially Excel, PowerPoint, Word and Access. Knowledge of internet and government websites required.
• Interpersonal Skills: Demonstrates True North values; effective written communication; ability to work with diverse teams; ability to manage multiple priorities.

Compensation

$50 to $65 per hour/week based on years of experience doing the duties of the role.

About Us

At NorthBay Health, we are guided by the True North values: Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet evolving community needs. We offer comprehensive clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as surgical and outpatient specialties.

Join us with our commitment to excellence to be the trusted healthcare partner of choice for the communities we serve.