Revenue Compliance Analyst at St. Mark's Hospital in Salt Lake City, Utah

Job Description:

DESCRIPTION SHIFT: No Weekends

SCHEDULE: Full-time

ST MARK\'S IS LOOKING FOR A REVENUE COMPLIANCE ANALYST TO JOIN THEIR TEAM!

REVENUE COMPLIANCE ANALYST

The Revenue Compliance Analyst will review claims data to analyze potential charge errors and communicate to stakeholders, as needed. Research payer standards and regulations including CMS and LCD/NCD coverage exceptions. Evaluate charge capture practices to ensure accuracy & completeness of charge capture and compliance with government and non-government payers rules and regulations. Follow up as appropriate when unusual items are noted and ensure problems are resolved and prevented in the future. Capture and post charges for Observations hours as well as Injection and Infusion services. Provide support to CFO for one-off payer agreements. Complete root cause analysis on denied claims, participate in DMAT team and provide overall support to facility DMAT process. Other job duties as assigned.

For the past 145 years, St. Mark's Hospital has provided a full-spectrum of healthcare services to Salt Lake City and its surrounding communities. As Utah's first hospital, St. Mark's team members uphold a rich tradition of patient-centered, top-quality care at our 308-bed hospital. St Mark's Hospital was the only hospital in Utah named among America's 100 Best Hospitals for Coronary Intervention - four years in a row (Healthgrades 2016-2019) and have earned an \\"A\\" rating in the Hospital Safety Grades for the third year in a row (Leapfrog Group 2019).

Nestled at the foot of the Wasatch Mountains, St. Mark's sits in a picturesque and ideal location. From our hospital doors it's a quick commute to Salt Lake's urban and cultural benefits, and only a short drive to outdoor adventures and Utah's glorious national parks.

We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country - offering our colleagues the opportunity for travel and relocation. HCA and St. Mark's Hospital are all about caring for people, and that care extends to patients, families and our colleagues.

You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for dedicated professionals like you to be a part of our team. Join us in our efforts to better our community!

We offer an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. A few of the benefits we provide you:

* Tuition Reimbursement

* Full Medical, Dental, Life, Disability and Vision Insurance

* 401k (3%-9% match based on tenure)

* PTO

* Employee Stock Purchase Plan

* Healthcare and Dependent Care Flexible Spending Accounts

* Employee Discount Program

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

QUALIFICATIONS

EDUCATION:

* 2 year degree or equivalent experience

EXPERIENCE:

* At least 5 years of Revenue Cycler Operation experience.

SPECIAL QUALIFICATIONS:

*

Prefer specific experience in root cause analysis of denied claims. Solid understand of the rules and regulations associated with the charge capture of observation and injection/infusion services.

NOTICE

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